Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $740.75 / $836.93 / $1,616.86	Professional		$740.75	$836.93	$1,616.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $489.79 / $491.36 / $734.20	Professional	26	$489.79	$491.36	$734.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $921.69 / $1,211.63 / $1,756.86	Professional		$921.69	$1,211.63	$1,756.86
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $473.70 / $613.03 / $871.12	Professional	26	$473.70	$613.03	$871.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,099.52 / $1,517.97 / $2,077.12	Professional		$1,099.52	$1,517.97	$2,077.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $557.51 / $780.40 / $1,053.20	Professional	26	$557.51	$780.40	$1,053.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,156.63 / $1,338.22 / $2,510.81	Professional		$1,156.63	$1,338.22	$2,510.81
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $575.02 / $665.30 / $1,248.25	Professional	26	$575.02	$665.30	$1,248.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $740.75 / $851.91 / $1,619.58	Professional		$740.75	$851.91	$1,619.58
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $489.79 / $524.73 / $734.20	Professional	26	$489.79	$524.73	$734.20
United Facility/Professional Professional Modifier Low / Median / High Price $849.51 / $1,077.86 / $1,878.80	Professional		$849.51	$1,077.86	$1,878.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $544.11 / $705.32 / $1,098.08	Professional	26	$544.11	$705.32	$1,098.08