Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $351.02 / $351.02 / $469.89	Facility	26	$351.02	$351.02	$469.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,200.83 / $1,204.23 / $1,251.91	Professional		$1,200.83	$1,204.23	$1,251.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $326.38 / $351.03 / $358.94	Professional	26	$326.38	$351.03	$358.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,219.20 / $2,350.86 / $3,862.32	Professional		$1,219.20	$2,350.86	$3,862.32
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $314.73 / $670.30 / $1,141.78	Professional	26	$314.73	$670.30	$1,141.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,588.07 / $2,668.27 / $4,056.79	Professional		$1,588.07	$2,668.27	$4,056.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $469.51 / $751.53 / $1,142.60	Professional	26	$469.51	$751.53	$1,142.60
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,187.28 / $2,369.94 / $4,222.55	Professional		$1,187.28	$2,369.94	$4,222.55
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $360.44 / $688.14 / $1,186.85	Professional	26	$360.44	$688.14	$1,186.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,490.17 / $2,054.11 / $3,699.53	Professional		$1,490.17	$2,054.11	$3,699.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $458.51 / $613.70 / $1,058.63	Professional	26	$458.51	$613.70	$1,058.63
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $984.98 / $1,168.21 / $1,655.09	Professional		$984.98	$1,168.21	$1,655.09
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $260.27 / $312.32 / $447.13	Professional	26	$260.27	$312.32	$447.13