Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.29 / $161.24 / $180.00	Facility		$39.29	$161.24	$180.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.82 / $29.69 / $40.99	Professional		$24.82	$29.69	$40.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.72 / $67.93 / $158.61	Facility		$57.72	$67.93	$158.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $22.80 / $25.75	Professional		$14.04	$22.80	$25.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.06 / $177.15 / $208.01	Facility		$80.06	$177.15	$208.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.26 / $40.06 / $145.58	Professional		$18.26	$40.06	$145.58
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $50.93 / $124.85	Professional		$35.09	$50.93	$124.85
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $22.39	Professional		$14.74	$21.05	$22.39
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $32.01 / $37.39 / $56.47	Professional		$32.01	$37.39	$56.47