Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $114.82 / $114.82	Facility	26	$114.82	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $181.97 / $269.15	Professional		$123.03	$181.97	$269.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $30.20 / $70.79	Professional	26	$19.05	$30.20	$70.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $295.12 / $416.87	Professional		$199.53	$295.12	$416.87
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $41.69 / $60.26	Professional	26	$28.18	$41.69	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $478.63 / $630.96	Professional		$263.03	$478.63	$630.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $67.61 / $87.10	Professional	26	$37.15	$67.61	$87.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $380.19 / $707.95	Professional		$223.87	$380.19	$707.95
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $53.70 / $87.10	Professional	26	$31.62	$53.70	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $295.12 / $776.25	Professional		$154.88	$295.12	$776.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $38.90 / $77.62	Professional	26	$30.20	$38.90	$77.62