Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.85 / $131.24 / $552.75	Facility		$19.85	$131.24	$552.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.86 / $20.67 / $20.98	Professional		$19.86	$20.67	$20.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.37 / $272.66 / $581.72	Facility		$245.37	$272.66	$581.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.83 / $14.83 / $25.58	Professional		$14.83	$14.83	$25.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $115.93 / $160.05	Facility		$2.31	$115.93	$160.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $17.73 / $37.17	Professional		$13.43	$17.73	$37.17
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $38.19 / $50.01 / $474.47	Professional		$38.19	$50.01	$474.47
United Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $22.79 / $27.04	Professional		$16.78	$22.79	$27.04
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,750.00 / $3,000.00 / $4,735.00	Professional		$2,750.00	$3,000.00	$4,735.00