Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.20 / $94.92 / $269.99	Facility		$43.20	$94.92	$269.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $15.63 / $15.63	Professional		$13.48	$15.63	$15.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.45 / $74.66 / $174.34	Facility		$63.45	$74.66	$174.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $25.07 / $29.62	Professional		$15.43	$25.07	$29.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.34 / $157.96 / $166.27	Facility		$71.34	$157.96	$166.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.21 / $20.01 / $55.24	Professional		$10.21	$20.01	$55.24
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $52.35 / $68.55 / $137.22	Professional		$52.35	$68.55	$137.22
United Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $23.14 / $23.14	Professional		$11.58	$23.14	$23.14
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $32.78 / $50.27	Professional		$17.50	$32.78	$50.27