Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.96 / $37.95 / $189.77	Facility		$21.96	$37.95	$189.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $21.96 / $21.96	Professional		$18.98	$21.96	$21.96
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 $48.95 / $99.35 / $118.92	Facility		$48.95	$99.35	$118.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $15.18 / $39.24	Professional		$14.04	$15.18	$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 $11.39 / $16.27 / $16.27	Professional		$11.39	$16.27	$16.27
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $20.03 / $24.04 / $35.33	Professional		$20.03	$24.04	$35.33