Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.23 / $31.23 / $269.99	Facility		$31.23	$31.23	$269.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $31.24 / $31.24	Professional		$27.00	$31.24	$31.24
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 $69.64 / $141.25 / $169.20	Facility		$69.64	$141.25	$169.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.01 / $21.60 / $55.24	Professional		$20.01	$21.60	$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 $16.20 / $23.14 / $23.14	Professional		$16.20	$23.14	$23.14
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $34.20 / $50.27	Professional		$28.50	$34.20	$50.27