Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.27 / $175.22 / $175.22	Facility	26	$53.27	$175.22	$175.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.70 / $98.03 / $526.72	Professional		$80.70	$98.03	$526.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.38 / $47.78 / $50.67	Professional	26	$40.38	$47.78	$50.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.67 / $80.26 / $113.30	Professional		$54.67	$80.26	$113.30
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.96 / $49.86 / $69.90	Professional	26	$33.96	$49.86	$69.90
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $82.00 / $120.39 / $168.79	Professional	50	$82.00	$120.39	$168.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $127.33 / $223.07	Professional		$72.45	$127.33	$223.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.68 / $71.61 / $114.78	Professional	26	$44.68	$71.61	$114.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $61.33 / $104.20 / $206.14	Professional		$61.33	$104.20	$206.14
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $39.07 / $67.25 / $120.00	Professional	26	$39.07	$67.25	$120.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.76 / $107.99 / $192.65	Professional		$77.76	$107.99	$192.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.37 / $49.24 / $99.50	Professional	26	$44.37	$49.24	$99.50
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $53.97 / $68.68	Professional		$49.06	$53.97	$68.68
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $27.75 / $30.75 / $33.54	Professional	26	$27.75	$30.75	$33.54