Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.36 / $66.72 / $189.77	Facility		$30.36	$66.72	$189.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $19.95 / $19.95	Professional		$17.21	$19.95	$19.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.60 / $52.48 / $122.54	Facility		$44.60	$52.48	$122.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $17.62 / $20.82	Professional		$10.84	$17.62	$20.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.15 / $110.72 / $116.54	Facility		$50.15	$110.72	$116.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $14.04 / $39.24	Professional		$13.05	$14.04	$39.24
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $48.18 / $96.45	Professional		$36.79	$48.18	$96.45
United Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $16.27 / $16.27	Professional		$10.84	$16.27	$16.27
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $20.03 / $22.03 / $28.04	Professional		$20.03	$22.03	$28.04