Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $49.46 / $247.31	Facility		$18.00	$49.46	$247.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $45.23 / $81.25	Professional		$38.65	$45.23	$81.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.62 / $82.92 / $176.90	Facility		$74.62	$82.92	$176.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $22.96 / $27.13	Professional		$14.13	$22.96	$27.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.59 / $110.90 / $129.28	Facility		$80.59	$110.90	$129.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.33 / $32.68 / $50.75	Professional		$30.33	$32.68	$50.75
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $47.95 / $62.79 / $125.70	Professional		$47.95	$62.79	$125.70
United Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $28.21 / $37.83	Professional		$19.73	$28.21	$37.83
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $16.43 / $49.48	Professional		$10.95	$16.43	$49.48