Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.16 / $249.64 / $249.64	Facility	26	$102.16	$249.64	$249.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.22 / $114.67 / $120.60	Professional		$68.22	$114.67	$120.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.14 / $66.92 / $76.00	Professional	26	$49.14	$66.92	$76.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.51 / $135.82 / $191.19	Professional		$92.51	$135.82	$191.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $65.34 / $95.93 / $134.50	Professional	26	$65.34	$95.93	$134.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.19 / $213.52 / $390.70	Professional		$129.19	$213.52	$390.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.98 / $146.58 / $200.67	Professional	26	$88.98	$146.58	$200.67
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $105.91 / $190.25 / $326.89	Professional		$105.91	$190.25	$326.89
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $74.80 / $142.86 / $246.40	Professional	26	$74.80	$142.86	$246.40
United Facility/Professional Professional Modifier Low / Median / High Price $116.54 / $126.29 / $333.26	Professional		$116.54	$126.29	$333.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.15 / $91.58 / $266.13	Professional	26	$70.15	$91.58	$266.13
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $98.50 / $138.19	Professional		$72.95	$98.50	$138.19
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $52.05 / $62.38 / $84.39	Professional	26	$52.05	$62.38	$84.39