Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $147.27 / $147.27 / $147.27	Facility	26	$147.27	$147.27	$147.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.34 / $248.64 / $248.64	Professional		$190.34	$248.64	$248.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.67 / $449.75 / $652.13	Professional		$316.67	$449.75	$652.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.26 / $664.02 / $991.90	Professional		$409.26	$664.02	$991.90
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $362.66 / $690.67 / $1,289.81	Professional		$362.66	$690.67	$1,289.81
United Facility/Professional Professional Modifier Low / Median / High Price $255.67 / $361.42 / $1,370.19	Professional		$255.67	$361.42	$1,370.19
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $229.40 / $252.34 / $321.16	Professional		$229.40	$252.34	$321.16