Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $255.43 / $255.43 / $443.24	Facility	26	$255.43	$255.43	$443.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $901.50 / $910.88 / $1,080.98	Professional		$901.50	$910.88	$1,080.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $237.57 / $255.43 / $469.99	Professional	26	$237.57	$255.43	$469.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $974.80 / $1,895.36 / $3,113.97	Professional		$974.80	$1,895.36	$3,113.97
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $225.13 / $479.47 / $816.72	Professional	26	$225.13	$479.47	$816.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,282.06 / $2,161.42 / $3,286.19	Professional		$1,282.06	$2,161.42	$3,286.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $335.88 / $536.97 / $816.40	Professional	26	$335.88	$536.97	$816.40
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $985.57 / $1,910.75 / $3,404.41	Professional		$985.57	$1,910.75	$3,404.41
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $257.83 / $492.24 / $848.99	Professional	26	$257.83	$492.24	$848.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.28 / $1,736.63 / $2,933.06	Professional		$1,258.28	$1,736.63	$2,933.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $327.61 / $453.82 / $756.41	Professional	26	$327.61	$453.82	$756.41
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $740.14 / $888.17 / $1,301.18	Professional		$740.14	$888.17	$1,301.18
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $186.01 / $223.21 / $325.45	Professional	26	$186.01	$223.21	$325.45