Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.20 / $125.68 / $357.49	Facility		$57.20	$125.68	$357.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $58.46 / $58.46	Professional		$39.83	$58.46	$58.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.01 / $98.86 / $254.29	Facility		$84.01	$98.86	$254.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.43 / $33.19 / $33.20	Professional		$20.43	$33.19	$33.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.49 / $203.03 / $224.07	Facility		$94.49	$203.03	$224.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $99.80 / $212.25	Professional		$26.51	$99.80	$212.25
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $51.07 / $74.12 / $168.23	Professional		$51.07	$74.12	$168.23
United Facility/Professional Professional Modifier Low / Median / High Price $20.43 / $30.64 / $30.64	Professional		$20.43	$30.64	$30.64
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $38.13 / $44.54 / $2,500.00	Professional		$38.13	$44.54	$2,500.00