Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.85 / $71.55 / $273.00	Facility		$44.85	$71.55	$273.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $22.35 / $22.35	Professional		$18.68	$22.35	$22.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.16 / $75.50 / $176.28	Facility		$64.16	$75.50	$176.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $25.35 / $29.95	Professional		$15.60	$25.35	$29.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.98 / $154.41 / $167.82	Facility		$88.98	$154.41	$167.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $20.19 / $56.27	Professional		$14.19	$20.19	$56.27
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $52.93 / $69.31 / $138.76	Professional		$52.93	$69.31	$138.76
United Facility/Professional Professional Modifier Low / Median / High Price $16.38 / $23.40 / $27.39	Professional		$16.38	$23.40	$27.39
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $28.82 / $31.70 / $40.35	Professional		$28.82	$31.70	$40.35