Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.35 / $104.05 / $295.95	Facility		$47.35	$104.05	$295.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $44.00 / $50.30	Professional		$44.00	$44.00	$50.30
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 $16.91 / $27.48 / $32.47	Professional		$16.91	$27.48	$32.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.45 / $132.72 / $154.41	Facility		$96.45	$132.72	$154.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.57 / $48.57 / $60.71	Professional		$48.57	$48.57	$60.71
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $57.38 / $75.14 / $150.43	Professional		$57.38	$75.14	$150.43
United Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $26.40 / $35.40	Professional		$20.12	$26.40	$35.40
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $46.51 / $59.19	Professional		$42.28	$46.51	$59.19