Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.90 / $45.92 / $130.62	Facility		$20.90	$45.92	$130.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $15.11 / $15.11	Professional		$13.06	$15.11	$15.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.70 / $34.11 / $72.77	Facility		$30.70	$34.11	$72.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $12.12 / $14.33	Professional		$7.65	$12.12	$14.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.70 / $68.23 / $81.87	Facility		$33.70	$68.23	$81.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $26.85	Professional		$21.48	$21.48	$26.85
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $33.15 / $72.84	Professional		$25.33	$33.15	$72.84
United Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $11.20 / $18.66	Professional		$7.84	$11.20	$18.66
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