Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $60.26 / $102.33	Professional		$26.92	$60.26	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $416.87 / $524.81	Facility		$257.04	$416.87	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $141.25 / $234.42	Professional		$74.13	$141.25	$234.42
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $316.23 / $616.60	Professional		$181.97	$316.23	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $257.04 / $616.60	Professional		$213.80	$257.04	$616.60
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89