Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.13 / $86.47 / $116.39	Professional		$85.13	$86.47	$116.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.45 / $28.07 / $28.95	Professional	26	$26.45	$28.07	$28.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.57 / $219.65 / $293.82	Professional		$53.57	$219.65	$293.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.36 / $60.50 / $80.93	Professional	26	$15.36	$60.50	$80.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $159.81 / $470.73	Professional		$65.05	$159.81	$470.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.95 / $37.11 / $102.47	Professional	26	$17.95	$37.11	$102.47
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $178.11 / $258.26 / $549.74	Professional		$178.11	$258.26	$549.74
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $40.72 / $59.06 / $125.71	Professional	26	$40.72	$59.06	$125.71
United Facility/Professional Professional Modifier Low / Median / High Price $87.02 / $145.03 / $253.95	Professional		$87.02	$145.03	$253.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.33 / $43.89 / $124.68	Professional	26	$26.33	$43.89	$124.68
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $95.82 / $127.28 / $195.24	Professional		$95.82	$127.28	$195.24
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $30.53 / $36.33 / $47.60	Professional	26	$30.53	$36.33	$47.60