Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.78 / $96.00 / $199.50	Facility		$32.78	$96.00	$199.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $29.98 / $29.98	Professional		$25.05	$29.98	$29.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.88 / $55.17 / $128.82	Facility		$46.88	$55.17	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $18.52 / $21.88	Professional		$11.40	$18.52	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.04 / $132.86 / $177.46	Facility		$65.04	$132.86	$177.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $18.91 / $40.78	Professional		$14.74	$18.91	$40.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $38.68 / $50.65 / $101.40	Professional		$38.68	$50.65	$101.40
United Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $17.10 / $22.05	Professional		$11.97	$17.10	$22.05
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $31.19 / $42.32	Professional		$23.99	$31.19	$42.32