Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.36 / $290.44 / $290.44	Facility	26	$58.36	$290.44	$290.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.78 / $161.71 / $449.58	Professional		$133.78	$161.71	$449.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $96.40 / $135.16	Professional		$65.66	$96.40	$135.16
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $98.49 / $144.60 / $202.74	Professional	50	$98.49	$144.60	$202.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.15 / $159.32 / $334.31	Professional		$87.15	$159.32	$334.31
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $75.17 / $132.02 / $247.62	Professional		$75.17	$132.02	$247.62
United Facility/Professional Professional Modifier Low / Median / High Price $114.20 / $140.52 / $321.13	Professional		$114.20	$140.52	$321.13
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $72.39 / $99.61 / $164.92	Professional		$72.39	$99.61	$164.92