Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $75.86 / $75.86	Facility	26	$75.86	$75.86	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $50.12 / $117.49	Professional		$30.90	$50.12	$117.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $21.88 / $63.10	Professional	26	$19.05	$21.88	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $125.89 / $181.97	Professional		$51.29	$125.89	$181.97
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $48.98 / $74.13	Professional	26	$20.42	$48.98	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $77.62 / $151.36	Professional		$48.98	$77.62	$151.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $37.15 / $58.88	Professional	26	$25.70	$37.15	$58.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $79.43 / $141.25	Professional		$45.71	$79.43	$141.25
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $30.90 / $53.70	Professional	26	$22.39	$30.90	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $70.79 / $141.25	Professional		$43.65	$70.79	$141.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $34.67 / $61.66	Professional	26	$21.38	$34.67	$61.66
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $15.14 / $25.70	Facility	26	$12.88	$15.14	$25.70