Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.90 / $151.40 / $430.64	Facility		$68.90	$151.40	$430.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.99 / $83.30 / $83.30	Professional		$47.99	$83.30	$83.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.20 / $119.09 / $306.33	Facility		$101.20	$119.09	$306.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.61 / $39.97 / $39.99	Professional		$24.61	$39.97	$39.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.81 / $232.50 / $265.72	Facility		$113.81	$232.50	$265.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.95 / $120.27 / $255.79	Professional		$31.95	$120.27	$255.79
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $89.29 / $202.65	Professional		$61.52	$89.29	$202.65
United Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $36.90 / $61.52	Professional		$25.84	$36.90	$61.52
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $50.53 / $64.31 / $3,375.00	Professional		$50.53	$64.31	$3,375.00