Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.94 / $90.60 / $237.02	Facility		$38.94	$90.60	$237.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $28.29 / $28.29	Professional		$23.65	$28.29	$28.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.70 / $65.55 / $153.05	Facility		$55.70	$65.55	$153.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $22.00 / $26.00	Professional		$13.54	$22.00	$26.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.26 / $141.47 / $167.69	Facility		$77.26	$141.47	$167.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.78 / $49.04	Professional		$17.55	$17.78	$49.04
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $60.18 / $120.47	Professional		$45.95	$60.18	$120.47
United Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $20.32 / $20.81	Professional		$13.54	$20.32	$20.81
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $25.90 / $30.02 / $44.14	Professional		$25.90	$30.02	$44.14