Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.29 / $89.84 / $89.84	Facility	26	$34.29	$89.84	$89.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.40 / $195.60 / $195.60	Professional		$161.40	$195.60	$195.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.35 / $255.97 / $371.15	Professional		$174.35	$255.97	$371.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.31 / $430.62 / $576.33	Professional		$233.31	$430.62	$576.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $203.00 / $358.53 / $935.58	Professional		$203.00	$358.53	$935.58
United Facility/Professional Professional Modifier Low / Median / High Price $164.09 / $251.19 / $1,378.23	Professional		$164.09	$251.19	$1,378.23
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $160.50 / $187.46 / $283.12	Professional		$160.50	$187.46	$283.12