Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.97 / $277.99 / $277.99	Facility	26	$105.97	$277.99	$277.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $475.00 / $793.06	Professional		$425.00	$475.00	$793.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.77 / $127.50 / $167.00	Professional	26	$99.77	$127.50	$167.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $403.36 / $580.10 / $816.60	Professional		$403.36	$580.10	$816.60
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.93 / $97.69 / $136.97	Professional	26	$67.93	$97.69	$136.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $570.67 / $972.64 / $1,331.59	Professional		$570.67	$972.64	$1,331.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.30 / $156.24 / $211.15	Professional	26	$92.30	$156.24	$211.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $461.76 / $916.04 / $1,521.08	Professional		$461.76	$916.04	$1,521.08
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $77.76 / $154.26 / $256.14	Professional	26	$77.76	$154.26	$256.14
United Facility/Professional Professional Modifier Low / Median / High Price $575.12 / $657.55 / $2,010.57	Professional		$575.12	$657.55	$2,010.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.70 / $90.53 / $223.14	Professional	26	$74.70	$90.53	$223.14
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $375.64 / $438.75 / $662.63	Professional		$375.64	$438.75	$662.63
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $56.04 / $68.63 / $90.22	Professional	26	$56.04	$68.63	$90.22