Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.42 / $47.72 / $47.72	Facility		$21.42	$47.72	$47.72
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.85 / $21.42 / $44.42	Facility	26	$17.85	$21.42	$44.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.96 / $16.96 / $50.85	Professional		$16.96	$16.96	$50.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.96 / $17.85 / $47.97	Professional	26	$16.96	$17.85	$47.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.17 / $5.74 / $12.25	Facility		$5.17	$5.74	$12.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.66 / $77.40 / $136.82	Professional		$19.66	$77.40	$136.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.49 / $72.48 / $102.76	Professional	26	$7.49	$72.48	$102.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.64 / $12.97 / $50.27	Facility		$5.64	$12.97	$50.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.45 / $43.45 / $43.45	Professional		$43.45	$43.45	$43.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.47 / $40.47 / $40.47	Professional	26	$40.47	$40.47	$40.47
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $56.48 / $97.19 / $178.08	Professional		$56.48	$97.19	$178.08
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $90.54 / $165.89	Professional	26	$52.48	$90.54	$165.89
United Facility/Professional Professional Modifier Low / Median / High Price $25.14 / $30.94 / $71.90	Professional		$25.14	$30.94	$71.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.13 / $30.93 / $69.45	Professional	26	$25.13	$30.93	$69.45
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $15.26 / $19.09 / $3,375.00	Professional		$15.26	$19.09	$3,375.00