Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.59 / $152.93 / $434.98	Facility		$69.59	$152.93	$434.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $50.33 / $50.33	Professional		$43.50	$50.33	$50.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.22 / $113.59 / $242.35	Facility		$102.22	$113.59	$242.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.86 / $40.39 / $47.72	Professional		$24.86	$40.39	$47.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $227.44 / $272.58	Facility		$112.20	$227.44	$272.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $71.45 / $89.31	Professional		$71.45	$71.45	$89.31
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $84.34 / $103.46 / $204.70	Professional		$84.34	$103.46	$204.70
United Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $37.28 / $37.28	Professional		$26.10	$37.28	$37.28
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,750.00 / $3,500.00	Professional		$2,500.00	$2,750.00	$3,500.00