Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.42 / $151.94 / $151.94	Facility	26	$56.42	$151.94	$151.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.37 / $167.80 / $514.74	Professional		$149.37	$167.80	$514.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.13 / $34.96 / $116.73	Professional	26	$29.13	$34.96	$116.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.83 / $377.07 / $546.75	Professional		$256.83	$377.07	$546.75
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.22 / $53.19 / $77.12	Professional	26	$36.22	$53.19	$77.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.63 / $618.08 / $879.76	Professional		$343.63	$618.08	$879.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.33 / $84.41 / $110.95	Professional	26	$47.33	$84.41	$110.95
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $299.05 / $522.53 / $1,046.08	Professional		$299.05	$522.53	$1,046.08
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $42.10 / $73.54 / $136.61	Professional	26	$42.10	$73.54	$136.61
United Facility/Professional Professional Modifier Low / Median / High Price $213.89 / $381.01 / $552.42	Professional		$213.89	$381.01	$552.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.60 / $56.50 / $111.88	Professional	26	$40.60	$56.50	$111.88
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $158.59 / $279.98 / $429.46	Professional		$158.59	$279.98	$429.46
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $29.78 / $35.74 / $47.94	Professional	26	$29.78	$35.74	$47.94