Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.20 / $86.14 / $245.00	Facility		$39.20	$86.14	$245.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $28.86 / $28.86	Professional		$27.30	$28.86	$28.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.58 / $67.75 / $174.28	Facility		$57.58	$67.75	$174.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $22.75 / $22.75	Professional		$14.00	$22.75	$22.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.75 / $138.69 / $153.54	Facility		$64.75	$138.69	$153.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $68.45 / $145.58	Professional		$18.07	$68.45	$145.58
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $50.80 / $115.29	Professional		$35.00	$50.80	$115.29
United Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $21.00 / $35.00	Professional		$14.70	$21.00	$35.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $26.13 / $30.52 / $2,500.00	Professional		$26.13	$30.52	$2,500.00