Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.16 / $72.00 / $194.60	Facility		$24.16	$72.00	$194.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.16 / $24.16 / $26.49	Professional		$24.16	$24.16	$26.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.73 / $53.82 / $125.66	Facility		$45.73	$53.82	$125.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $18.07 / $21.35	Professional		$11.12	$18.07	$21.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.43 / $140.24 / $188.86	Facility		$63.43	$140.24	$188.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $20.05 / $39.75	Professional		$14.39	$20.05	$39.75
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $49.41 / $101.27	Professional		$37.72	$49.41	$101.27
United Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $16.68 / $23.31	Professional		$11.68	$16.68	$23.31
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $32.97 / $44.75	Professional		$25.37	$32.97	$44.75