Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $190.55 / $190.55 / $190.55	Facility	26	$190.55	$190.55	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $489.78 / $1,148.15	Professional		$346.74	$489.78	$1,148.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $616.60 / $891.25	Professional		$457.09	$616.60	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $912.01 / $1,348.96	Professional		$562.34	$912.01	$1,348.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $891.25 / $1,380.38	Professional		$524.81	$891.25	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $616.60 / $1,380.38	Professional		$346.74	$616.60	$1,380.38
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $42.66 / $42.66	Facility	26	$42.66	$42.66	$42.66