Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.89 / $140.30 / $344.67	Facility		$43.89	$140.30	$344.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $37.82 / $43.89	Professional		$36.67	$37.82	$43.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.33 / $74.53 / $174.02	Facility		$63.33	$74.53	$174.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.40 / $25.02 / $29.56	Professional		$15.40	$25.02	$29.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.86 / $194.86 / $260.49	Facility		$87.86	$194.86	$260.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.01 / $27.80 / $55.24	Professional		$20.01	$27.80	$55.24
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $52.25 / $68.42 / $140.25	Professional		$52.25	$68.42	$140.25
United Facility/Professional Professional Modifier Low / Median / High Price $16.17 / $23.10 / $32.27	Professional		$16.17	$23.10	$32.27
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $45.66 / $61.95	Professional		$35.11	$45.66	$61.95