Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $213.80 / $213.80 / $213.80	Facility	26	$213.80	$213.80	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $363.08	Professional		$123.03	$177.83	$363.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $91.20 / $346.74	Professional	26	$45.71	$91.20	$346.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $269.15 / $380.19	Professional		$165.96	$269.15	$380.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $144.54 / $194.98	Professional	26	$91.20	$144.54	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $331.13 / $588.84	Professional		$213.80	$331.13	$588.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $131.83 / $275.42	Professional	26	$75.86	$131.83	$275.42
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $309.03 / $467.74	Professional		$190.55	$309.03	$467.74
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $162.18 / $239.88	Professional	26	$104.71	$162.18	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $616.60	Professional		$194.98	$288.40	$616.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $120.23 / $218.78	Professional	26	$60.26	$120.23	$218.78
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $69.18 / $69.18	Facility	26	$58.88	$69.18	$69.18