Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $124.64 / $367.39 / $367.39	Facility	26	$124.64	$367.39	$367.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $125.00 / $736.69	Professional	26	$90.00	$125.00	$736.69
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.90 / $170.70 / $247.51	Professional	26	$79.90	$170.70	$247.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.54 / $188.17 / $248.24	Professional	26	$104.54	$188.17	$248.24
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $92.84 / $162.19 / $301.27	Professional	26	$92.84	$162.19	$301.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.83 / $107.59 / $174.25	Professional	26	$81.83	$107.59	$174.25
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $66.61 / $79.93 / $116.40	Professional	26	$66.61	$79.93	$116.40