Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.94 / $150.16 / $150.16	Facility	26	$53.94	$150.16	$150.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.86 / $196.90 / $201.76	Professional		$148.86	$196.90	$201.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.61 / $243.15 / $352.56	Professional		$165.61	$243.15	$352.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.10 / $409.26 / $541.79	Professional		$221.10	$409.26	$541.79
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $192.83 / $336.94 / $935.58	Professional		$192.83	$336.94	$935.58
United Facility/Professional Professional Modifier Low / Median / High Price $169.35 / $237.60 / $355.71	Professional		$169.35	$237.60	$355.71
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $151.43 / $181.72 / $267.12	Professional		$151.43	$181.72	$267.12