Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $133.55 / $358.64 / $358.64	Facility	26	$133.55	$358.64	$358.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $125.00 / $125.00 / $125.00	Professional	26	$125.00	$125.00	$125.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.72 / $183.14 / $265.55	Professional	26	$85.72	$183.14	$265.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.01 / $202.26 / $263.85	Professional	26	$112.01	$202.26	$263.85
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $99.61 / $174.02 / $323.25	Professional	26	$99.61	$174.02	$323.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.31 / $114.97 / $177.69	Professional	26	$79.31	$114.97	$177.69
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $71.13 / $85.36 / $114.51	Professional	26	$71.13	$85.36	$114.51