Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.46 / $101.06 / $456.96	Facility		$58.46	$101.06	$456.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.53 / $58.47 / $58.47	Professional		$50.53	$58.47	$58.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.75 / $139.75 / $326.30	Facility		$118.75	$139.75	$326.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $46.92 / $55.44	Professional		$28.88	$46.92	$55.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.34 / $263.35 / $316.66	Facility		$130.34	$263.35	$316.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $37.83 / $103.77	Professional		$37.39	$37.83	$103.77
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $97.98 / $128.30 / $256.83	Professional		$97.98	$128.30	$256.83
United Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $43.31 / $43.31	Professional		$28.88	$43.31	$43.31
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $53.90 / $72.77 / $3,000.00	Professional		$53.90	$72.77	$3,000.00