Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.35 / $40.99 / $204.96	Facility		$26.35	$40.99	$204.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $26.35 / $26.35	Professional		$22.77	$26.35	$26.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.17 / $56.68 / $132.35	Facility		$48.17	$56.68	$132.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.71 / $19.03 / $22.48	Professional		$11.71	$19.03	$22.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.87 / $106.54 / $128.43	Facility		$52.87	$106.54	$128.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.10 / $17.02 / $42.33	Professional		$15.10	$17.02	$42.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $39.74 / $52.04 / $106.64	Professional		$39.74	$52.04	$106.64
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.57 / $19.52	Professional		$12.30	$17.57	$19.52
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $24.29 / $32.79 / $3,000.00	Professional		$24.29	$32.79	$3,000.00