Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.96 / $204.26 / $581.00	Facility		$92.96	$204.26	$581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.73 / $107.85 / $107.85	Professional		$64.73	$107.85	$107.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.54 / $160.66 / $413.28	Facility		$136.54	$160.66	$413.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $53.95 / $53.95	Professional		$33.20	$53.95	$53.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.54 / $313.67 / $358.95	Facility		$153.54	$313.67	$358.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.01 / $161.86 / $344.23	Professional		$43.01	$161.86	$344.23
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $120.47 / $273.41	Professional		$83.00	$120.47	$273.41
United Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $49.80 / $105.01	Professional		$34.86	$49.80	$105.01
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $61.33 / $82.80 / $3,375.00	Professional		$61.33	$82.80	$3,375.00