Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.73 / $173.70 / $333.13	Facility		$54.73	$173.70	$333.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.33 / $54.25 / $54.25	Professional		$45.33	$54.25	$54.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.29 / $92.12 / $215.11	Facility		$78.29	$92.12	$215.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $30.93 / $36.54	Professional		$19.04	$30.93	$36.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.56 / $240.63 / $322.36	Facility		$108.56	$240.63	$322.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $34.22 / $68.15	Professional		$24.57	$34.22	$68.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $64.59 / $84.58 / $173.36	Professional		$64.59	$84.58	$173.36
United Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $28.55 / $39.89	Professional		$19.98	$28.55	$39.89
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $47.75 / $60.77	Professional		$43.41	$47.75	$60.77