Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.39 / $77.77 / $221.20	Facility		$35.39	$77.77	$221.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.12 / $25.60 / $25.60	Professional		$22.12	$25.60	$25.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.98 / $57.76 / $123.24	Facility		$51.98	$57.76	$123.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $20.54 / $24.26	Professional		$4.41	$20.54	$24.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.06 / $116.11 / $138.62	Facility		$57.06	$116.11	$138.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $36.34 / $45.43	Professional		$36.34	$36.34	$45.43
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $42.89 / $52.61 / $104.09	Professional		$42.89	$52.61	$104.09
United Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $18.96 / $31.60	Professional		$13.27	$18.96	$31.60
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