Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.00 / $125.00 / $125.00	Facility	26	$125.00	$125.00	$125.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $125.00 / $265.00	Professional	26	$90.00	$125.00	$265.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $118.92 / $146.37 / $234.28	Professional	26	$118.92	$146.37	$234.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $140.13 / $186.26 / $251.10	Professional	26	$140.13	$186.26	$251.10
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $139.74 / $161.68 / $303.35	Professional	26	$139.74	$161.68	$303.35
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $93.63 / $141.25 / $265.00	Professional	26	$93.63	$141.25	$265.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $139.74 / $170.80 / $226.44	Professional	26	$139.74	$170.80	$226.44