Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $91.20 / $363.08	Facility		$23.99	$91.20	$363.08
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $95.50 / $251.19 / $363.08	Facility	CQ	$95.50	$251.19	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $34.67 / $93.33	Professional		$19.95	$34.67	$93.33
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $158.49 / $158.49 / $158.49	Professional	CO	$158.49	$158.49	$158.49
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $25.12 / $66.07 / $81.28	Professional	CQ	$25.12	$66.07	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $32.36 / $41.69	Professional		$28.84	$32.36	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $43.65 / $83.18	Professional		$26.30	$43.65	$83.18
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $52.48 / $81.28	Professional		$33.11	$52.48	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $37.15 / $77.62	Professional		$29.51	$37.15	$77.62
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $37.15	Facility		$25.70	$25.70	$37.15
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91