Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.68 / $99.10 / $99.10	Facility	26	$37.68	$99.10	$99.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.52 / $131.77 / $703.84	Professional		$92.52	$131.77	$703.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.21 / $150.07 / $217.60	Professional		$102.21	$150.07	$217.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.28 / $230.05 / $470.32	Professional		$136.28	$230.05	$470.32
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $117.01 / $207.95 / $385.44	Professional		$117.01	$207.95	$385.44
United Facility/Professional Professional Modifier Low / Median / High Price $145.52 / $175.84 / $532.16	Professional		$145.52	$175.84	$532.16
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $92.60 / $127.42 / $189.28	Professional		$92.60	$127.42	$189.28