Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.06 / $133.47 / $255.99	Facility		$42.06	$133.47	$255.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.84 / $41.68 / $41.68	Professional		$34.84	$41.68	$41.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.16 / $70.79 / $165.30	Facility		$60.16	$70.79	$165.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $23.77 / $28.08	Professional		$14.63	$23.77	$28.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.43 / $184.53 / $247.47	Facility		$83.43	$184.53	$247.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $26.29 / $52.66	Professional		$18.96	$26.29	$52.66
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $49.63 / $64.98 / $133.19	Professional		$49.63	$64.98	$133.19
United Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $21.94 / $30.65	Professional		$15.36	$21.94	$30.65
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $33.35 / $43.36 / $58.83	Professional		$33.35	$43.36	$58.83