Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.83 / $214.10 / $214.10	Facility	26	$76.83	$214.10	$214.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.71 / $209.05 / $648.07	Professional		$126.71	$209.05	$648.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.06 / $205.63 / $294.85	Professional		$140.06	$205.63	$294.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.01 / $311.49 / $597.25	Professional		$186.01	$311.49	$597.25
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $160.34 / $277.36 / $528.17	Professional		$160.34	$277.36	$528.17
United Facility/Professional Professional Modifier Low / Median / High Price $175.03 / $263.08 / $641.59	Professional		$175.03	$263.08	$641.59
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $119.89 / $164.97 / $238.37	Professional		$119.89	$164.97	$238.37