Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.03 / $96.74 / $275.17	Facility		$44.03	$96.74	$275.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.66 / $83.30 / $103.53	Professional		$30.66	$83.30	$103.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.66 / $76.09 / $195.74	Facility		$64.66	$76.09	$195.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.72 / $25.55 / $25.55	Professional		$15.72	$25.55	$25.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.72 / $148.55 / $169.38	Facility		$72.72	$148.55	$169.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.36 / $76.77 / $163.27	Professional		$20.36	$76.77	$163.27
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $57.05 / $129.49	Professional		$39.31	$57.05	$129.49
United Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $23.59 / $108.18	Professional		$16.51	$23.59	$108.18
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $41.09 / $3,375.00	Professional		$32.29	$41.09	$3,375.00