Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.30 / $133.55 / $939.92	Facility		$21.30	$133.55	$939.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.30 / $21.30 / $21.83	Professional		$21.30	$21.30	$21.83
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 $15.84 / $15.84 / $27.32	Professional		$15.84	$15.84	$27.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.46 / $124.34 / $170.93	Facility		$2.46	$124.34	$170.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $18.96 / $39.75	Professional		$14.19	$18.96	$39.75
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $53.30 / $474.47	Professional		$40.70	$53.30	$474.47
United Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $24.37 / $24.76	Professional		$17.05	$24.37	$24.76
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