Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.51 / $143.94 / $409.43	Facility		$65.51	$143.94	$409.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.62 / $83.30 / $104.13	Professional		$45.62	$83.30	$104.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.22 / $113.22 / $291.24	Facility		$96.22	$113.22	$291.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $38.01 / $38.02	Professional		$23.40	$38.01	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.20 / $221.05 / $251.73	Facility		$108.20	$221.05	$251.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.37 / $114.52 / $243.55	Professional		$30.37	$114.52	$243.55
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $58.49 / $84.89 / $192.67	Professional		$58.49	$84.89	$192.67
United Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $35.09 / $58.49	Professional		$24.57	$35.09	$58.49
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $61.14 / $3,375.00	Professional		$48.04	$61.14	$3,375.00