Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.92 / $61.76 / $61.76	Facility	26	$27.92	$61.76	$61.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.53 / $76.88 / $95.17	Professional		$60.53	$76.88	$95.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.11 / $20.10 / $24.91	Professional	26	$17.11	$20.10	$24.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.98 / $106.67 / $169.88	Professional		$65.98	$106.67	$169.88
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.44 / $29.67 / $45.79	Professional	26	$18.44	$29.67	$45.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.80 / $21.80 / $21.80	Facility	26	$21.80	$21.80	$21.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.48 / $118.42 / $194.98	Professional		$58.48	$118.42	$194.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.01 / $31.53 / $51.76	Professional	26	$22.01	$31.53	$51.76
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $71.76 / $113.31 / $231.55	Professional		$71.76	$113.31	$231.55
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $21.11 / $33.17 / $65.16	Professional	26	$21.11	$33.17	$65.16
United Facility/Professional Professional Modifier Low / Median / High Price $41.90 / $112.62 / $229.62	Professional		$41.90	$112.62	$229.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.60 / $33.36 / $67.75	Professional	26	$21.60	$33.36	$67.75
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $48.30 / $71.23 / $109.26	Professional		$48.30	$71.23	$109.26
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $15.46 / $18.42 / $25.07	Professional	26	$15.46	$18.42	$25.07