Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.37 / $125.00 / $125.00	Facility	26	$43.37	$125.00	$125.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $125.00 / $125.00	Professional	26	$90.00	$125.00	$125.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.82 / $59.43 / $86.17	Professional	26	$27.82	$59.43	$86.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.38 / $65.23 / $85.05	Professional	26	$36.38	$65.23	$85.05
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $32.33 / $56.48 / $104.92	Professional	26	$32.33	$56.48	$104.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.09 / $39.86 / $166.20	Professional	26	$30.09	$39.86	$166.20
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $23.70 / $26.26 / $28.64	Professional	26	$23.70	$26.26	$28.64