Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.74 / $30.74 / $30.74	Facility	26	$30.74	$30.74	$30.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.92 / $77.09 / $84.49	Professional		$66.92	$77.09	$84.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.22 / $23.09 / $26.24	Professional	26	$20.22	$23.09	$26.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.40 / $103.43 / $167.69	Professional		$63.40	$103.43	$167.69
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.38 / $33.25 / $51.87	Professional	26	$20.38	$33.25	$51.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $111.71 / $193.82	Professional		$78.06	$111.71	$193.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.65 / $35.39 / $58.63	Professional	26	$24.65	$35.39	$58.63
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $112.22 / $224.02	Professional		$71.31	$112.22	$224.02
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $23.33 / $35.38 / $72.01	Professional	26	$23.33	$35.38	$72.01
United Facility/Professional Professional Modifier Low / Median / High Price $80.11 / $124.62 / $227.87	Professional		$80.11	$124.62	$227.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.10 / $36.61 / $79.31	Professional	26	$25.10	$36.61	$79.31
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $60.49 / $66.54 / $84.69	Professional		$60.49	$66.54	$84.69
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $18.32 / $20.30 / $25.83	Professional	26	$18.32	$20.30	$25.83