Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $294.97 / $392.55 / $515.92	Facility	26	$294.97	$392.55	$515.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,052.17 / $1,052.17 / $1,060.80	Professional		$1,052.17	$1,052.17	$1,060.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,099.54 / $2,116.14 / $3,476.69	Professional		$1,099.54	$2,116.14	$3,476.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,430.65 / $2,406.71 / $3,659.14	Professional		$1,430.65	$2,406.71	$3,659.14
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,100.36 / $2,133.33 / $3,800.98	Professional		$1,100.36	$2,133.33	$3,800.98
United Facility/Professional Professional Modifier Low / Median / High Price $1,429.48 / $2,001.31 / $3,300.45	Professional		$1,429.48	$2,001.31	$3,300.45
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $863.57 / $1,036.28 / $1,477.81	Professional		$863.57	$1,036.28	$1,477.81