Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.64 / $115.67 / $329.00	Facility		$52.64	$115.67	$329.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $83.30 / $133.72	Professional		$36.65	$83.30	$133.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $90.98 / $234.03	Facility		$77.31	$90.98	$234.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $30.55 / $30.55	Professional		$18.80	$30.55	$30.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.95 / $177.62 / $203.56	Facility		$86.95	$177.62	$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 $47.00 / $68.22 / $154.82	Professional		$47.00	$68.22	$154.82
United Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $28.20 / $47.00	Professional		$19.73	$28.20	$47.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $38.60 / $49.13 / $3,375.00	Professional		$38.60	$49.13	$3,375.00