Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $110.20	Professional		$19.00	$19.00	$110.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.86 / $90.96 / $194.06	Facility		$81.86	$90.96	$194.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $32.40 / $55.89	Professional		$32.40	$32.40	$55.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.75 / $178.83 / $213.53	Facility		$92.75	$178.83	$213.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.78 / $62.78 / $78.47	Professional		$62.78	$62.78	$78.47
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $26.44 / $167.13	Professional		$20.20	$26.44	$167.13
United Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $14.88 / $14.88	Professional		$14.88	$14.88	$14.88
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $32.82 / $38.33 / $57.89	Professional		$32.82	$38.33	$57.89