Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.73 / $40.47 / $131.91	Facility		$12.73	$40.47	$131.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $12.73 / $47.51	Professional		$10.63	$12.73	$47.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.36 / $21.60 / $50.44	Facility		$18.36	$21.60	$50.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $7.25 / $8.57	Professional		$4.46	$7.25	$8.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.45 / $56.10 / $74.89	Facility		$25.45	$56.10	$74.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.79 / $7.99 / $16.52	Professional		$5.79	$7.99	$16.52
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $19.82 / $40.65	Professional		$15.15	$19.82	$40.65
United Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $6.70 / $9.36	Professional		$4.69	$6.70	$9.36
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $10.18 / $13.23 / $17.96	Professional		$10.18	$13.23	$17.96