Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.62 / $126.62 / $360.15	Facility		$57.62	$126.62	$360.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.13 / $83.30 / $217.76	Professional		$40.13	$83.30	$217.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.64 / $99.60 / $256.18	Facility		$84.64	$99.60	$256.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.58 / $33.44 / $33.44	Professional		$20.58	$33.44	$33.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.17 / $204.46 / $225.69	Facility		$95.17	$204.46	$225.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.68 / $100.44 / $213.61	Professional		$26.68	$100.44	$213.61
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $74.67 / $169.48	Professional		$51.45	$74.67	$169.48
United Facility/Professional Professional Modifier Low / Median / High Price $21.61 / $30.87 / $51.45	Professional		$21.61	$30.87	$51.45
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $42.26 / $53.79 / $3,375.00	Professional		$42.26	$53.79	$3,375.00