Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.49 / $103.55 / $145.74	Professional		$90.49	$103.55	$145.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.69 / $41.69 / $58.91	Professional	26	$39.69	$41.69	$58.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.63 / $209.84 / $280.70	Professional		$51.63	$209.84	$280.70
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.73 / $86.66 / $115.92	Professional	26	$21.73	$86.66	$115.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.46 / $124.95 / $348.76	Professional		$63.46	$124.95	$348.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.49 / $50.89 / $140.10	Professional	26	$25.49	$50.89	$140.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $104.52 / $175.03 / $432.02	Professional		$104.52	$175.03	$432.02
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $57.03 / $82.69 / $176.02	Professional	26	$57.03	$82.69	$176.02
United Facility/Professional Professional Modifier Low / Median / High Price $94.61 / $141.84 / $157.68	Professional		$94.61	$141.84	$157.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.04 / $50.17 / $66.27	Professional	26	$35.04	$50.17	$66.27
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $118.51 / $148.25 / $208.36	Professional		$118.51	$148.25	$208.36
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $43.48 / $53.92 / $82.35	Professional	26	$43.48	$53.92	$82.35