Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.34 / $105.60 / $105.60	Facility		$50.34	$105.60	$105.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.19 / $30.10 / $38.34	Professional		$23.19	$30.10	$38.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.81 / $169.41 / $188.20	Facility		$134.81	$169.41	$188.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $46.54 / $65.81	Professional		$31.70	$46.54	$65.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.29 / $168.71 / $521.64	Facility		$112.29	$168.71	$521.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $58.00 / $100.94	Professional		$40.86	$58.00	$100.94
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $59.82 / $119.54	Professional		$36.29	$59.82	$119.54
United Facility/Professional Professional Modifier Low / Median / High Price $30.62 / $50.78 / $93.26	Professional		$30.62	$50.78	$93.26
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $29.36 / $37.36	Professional		$26.69	$29.36	$37.36