Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.92 / $116.28 / $330.75	Facility		$52.92	$116.28	$330.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $83.30 / $200.95	Professional		$36.86	$83.30	$200.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.73 / $91.47 / $235.27	Facility		$77.73	$91.47	$235.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $30.71 / $30.71	Professional		$18.89	$30.71	$30.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.40 / $187.30 / $203.56	Facility		$87.40	$187.30	$203.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.40 / $92.12 / $195.93	Professional		$24.40	$92.12	$195.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $68.58 / $155.65	Professional		$47.25	$68.58	$155.65
United Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $28.35 / $47.25	Professional		$19.85	$28.35	$47.25
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $38.81 / $49.39 / $3,375.00	Professional		$38.81	$49.39	$3,375.00