Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.84 / $166.64 / $166.64	Facility	26	$54.84	$166.64	$166.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.79 / $344.93 / $485.28	Professional		$275.79	$344.93	$485.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.69 / $55.05 / $80.38	Professional	26	$49.69	$55.05	$80.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $337.05 / $490.89 / $786.19	Professional		$337.05	$490.89	$786.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $78.20 / $116.14	Professional	26	$53.70	$78.20	$116.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.33 / $563.04 / $1,045.49	Professional		$277.33	$563.04	$1,045.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.05 / $96.91 / $163.60	Professional	26	$64.05	$96.91	$163.60
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $385.85 / $636.07 / $1,190.93	Professional		$385.85	$636.07	$1,190.93
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $61.47 / $101.12 / $189.73	Professional	26	$61.47	$101.12	$189.73
United Facility/Professional Professional Modifier Low / Median / High Price $335.27 / $451.82 / $937.03	Professional		$335.27	$451.82	$937.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.76 / $89.90 / $194.73	Professional	26	$63.76	$89.90	$194.73
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $259.45 / $310.97 / $473.26	Professional		$259.45	$310.97	$473.26
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $44.34 / $53.10 / $69.34	Professional	26	$44.34	$53.10	$69.34