Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.95 / $194.50 / $194.50	Facility	26	$77.95	$194.50	$194.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.42 / $134.84 / $358.84	Professional		$108.42	$134.84	$358.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.23 / $255.63 / $360.90	Professional		$167.23	$255.63	$360.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.05 / $272.08 / $482.52	Professional		$170.05	$272.08	$482.52
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $200.70 / $336.31 / $619.46	Professional		$200.70	$336.31	$619.46
United Facility/Professional Professional Modifier Low / Median / High Price $126.66 / $179.90 / $350.90	Professional		$126.66	$179.90	$350.90
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $113.69 / $132.65 / $200.55	Professional		$113.69	$132.65	$200.55