Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $705.64 / $2,027.06 / $2,027.06	Facility	26	$705.64	$2,027.06	$2,027.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.98 / $740.75 / $2,235.48	Professional		$660.98	$740.75	$2,235.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $426.72 / $491.36 / $1,450.18	Professional	26	$426.72	$491.36	$1,450.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $907.64 / $1,289.08 / $1,869.16	Professional		$907.64	$1,289.08	$1,869.16
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $451.23 / $640.86 / $929.24	Professional	26	$451.23	$640.86	$929.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,151.22 / $1,967.23 / $2,805.68	Professional		$1,151.22	$1,967.23	$2,805.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $591.82 / $946.96 / $1,557.50	Professional	26	$591.82	$946.96	$1,557.50
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,039.48 / $1,979.62 / $3,422.77	Professional		$1,039.48	$1,979.62	$3,422.77
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $516.78 / $927.94 / $1,701.63	Professional	26	$516.78	$927.94	$1,701.63
United Facility/Professional Professional Modifier Low / Median / High Price $821.73 / $1,099.39 / $1,921.23	Professional		$821.73	$1,099.39	$1,921.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $547.27 / $775.23 / $1,748.21	Professional	26	$547.27	$775.23	$1,748.21
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $682.09 / $803.88 / $1,214.07	Professional		$682.09	$803.88	$1,214.07
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $358.14 / $435.03 / $652.54	Professional	26	$358.14	$435.03	$652.54