Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.90 / $30.10 / $65.06	Professional		$25.90	$30.10	$65.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.36 / $482.97 / $524.91	Facility		$204.36	$482.97	$524.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.82 / $140.76 / $209.37	Professional		$83.82	$140.76	$209.37
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $288.19 / $460.15	Professional		$163.19	$288.19	$460.15
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