Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.52 / $220.05 / $220.05	Facility	26	$82.52	$220.05	$220.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.54 / $127.27 / $140.05	Professional		$93.54	$127.27	$140.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.39 / $157.66 / $222.97	Professional		$107.39	$157.66	$222.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.38 / $260.74 / $368.25	Professional		$150.38	$260.74	$368.25
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $116.79 / $218.49 / $379.45	Professional		$116.79	$218.49	$379.45
United Facility/Professional Professional Modifier Low / Median / High Price $152.38 / $211.63 / $494.07	Professional		$152.38	$211.63	$494.07
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $96.09 / $115.31 / $169.50	Professional		$96.09	$115.31	$169.50