Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $77.09 / $219.31	Facility		$35.09	$77.09	$219.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.93 / $25.38 / $25.38	Professional		$21.93	$25.38	$25.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.54 / $60.65 / $141.61	Facility		$51.54	$60.65	$141.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $20.36 / $23.26	Professional		$17.30	$20.36	$23.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.56 / $114.92 / $137.41	Facility		$56.56	$114.92	$137.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $35.93 / $44.91	Professional		$25.06	$35.93	$44.91
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $42.52 / $55.68 / $112.87	Professional		$42.52	$55.68	$112.87
United Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $18.80 / $18.80	Professional		$13.16	$18.80	$18.80
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $23.39 / $32.75 / $3,000.00	Professional		$23.39	$32.75	$3,000.00