Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.60 / $126.57 / $360.01	Facility		$57.60	$126.57	$360.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $42.14	Professional		$42.13	$42.13	$42.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.45 / $77.18 / $164.66	Facility		$69.45	$77.18	$164.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.57 / $33.42 / $39.49	Professional		$20.57	$33.42	$39.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.34 / $161.47 / $187.93	Facility		$117.34	$161.47	$187.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.10 / $59.10 / $73.88	Professional		$59.10	$59.10	$73.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $69.80 / $91.40 / $182.98	Professional		$69.80	$91.40	$182.98
United Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $26.40 / $35.40	Professional		$18.48	$26.40	$35.40
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $46.34 / $58.98	Professional		$42.13	$46.34	$58.98