Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.80 / $260.31 / $260.31	Facility	26	$96.80	$260.31	$260.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.67 / $331.86 / $1,049.58	Professional		$298.67	$331.86	$1,049.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.05 / $59.90 / $199.74	Professional	26	$50.05	$59.90	$199.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.52 / $472.05 / $684.47	Professional		$321.52	$472.05	$684.47
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.11 / $91.18 / $132.21	Professional	26	$62.11	$91.18	$132.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $429.61 / $805.22 / $1,082.59	Professional		$429.61	$805.22	$1,082.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.18 / $147.59 / $191.95	Professional	26	$81.18	$147.59	$191.95
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $374.37 / $654.15 / $1,309.58	Professional		$374.37	$654.15	$1,309.58
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $72.17 / $126.09 / $234.21	Professional	26	$72.17	$126.09	$234.21
United Facility/Professional Professional Modifier Low / Median / High Price $304.95 / $471.01 / $2,584.40	Professional		$304.95	$471.01	$2,584.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.48 / $87.36 / $463.14	Professional	26	$64.48	$87.36	$463.14
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $300.41 / $350.88 / $529.91	Professional		$300.41	$350.88	$529.91
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $52.25 / $62.70 / $84.12	Professional	26	$52.25	$62.70	$84.12