Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $138.76 / $337.59 / $337.59	Facility	26	$138.76	$337.59	$337.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.49 / $225.80 / $695.38	Professional		$131.49	$225.80	$695.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.68 / $82.36 / $229.54	Professional	26	$64.68	$82.36	$229.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.38 / $222.25 / $318.68	Professional		$151.38	$222.25	$318.68
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.60 / $131.55 / $186.03	Professional	26	$89.60	$131.55	$186.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.31 / $332.76 / $647.49	Professional		$199.31	$332.76	$647.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.06 / $184.42 / $274.33	Professional	26	$111.06	$184.42	$274.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $173.30 / $307.33 / $570.87	Professional		$173.30	$307.33	$570.87
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $102.57 / $180.14 / $337.88	Professional	26	$102.57	$180.14	$337.88
United Facility/Professional Professional Modifier Low / Median / High Price $212.92 / $266.14 / $712.61	Professional		$212.92	$266.14	$712.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $90.63 / $125.12 / $222.31	Professional	26	$90.63	$125.12	$222.31
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $133.60 / $183.83 / $259.68	Professional		$133.60	$183.83	$259.68
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $73.36 / $87.04 / $111.78	Professional	26	$73.36	$87.04	$111.78