Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $72.44 / $194.98	Facility		$23.99	$72.44	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $102.33	Professional		$18.20	$21.88	$102.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $53.70 / $158.49	Facility		$47.86	$53.70	$158.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $18.20 / $53.70	Professional		$13.80	$18.20	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $104.71 / $194.98	Facility		$44.67	$104.71	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $19.95 / $39.81	Professional		$14.45	$19.95	$39.81
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $48.98 / $89.13	Professional		$27.54	$48.98	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $16.60 / $81.28	Professional		$11.75	$16.60	$81.28