Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $190.55 / $331.13	Facility	26	$87.10	$190.55	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $141.25 / $346.74	Professional		$87.10	$141.25	$346.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $275.42	Professional		$131.83	$194.98	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $302.00 / $407.38	Professional		$173.78	$302.00	$407.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $263.03 / $407.38	Professional		$144.54	$263.03	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $190.55 / $446.68	Professional		$154.88	$190.55	$446.68
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $61.66 / $61.66	Facility	26	$61.66	$61.66	$61.66