Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $109.65 / $371.54	Facility		$30.20	$109.65	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.20 / $87.10	Professional		$22.91	$30.20	$87.10
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $204.17 / $204.17 / $204.17	Professional	CQ	$204.17	$204.17	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $37.15 / $46.77	Professional		$32.36	$37.15	$46.77
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 $28.84 / $50.12 / $91.20	Professional		$28.84	$50.12	$91.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $60.26 / $93.33	Professional		$37.15	$60.26	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $40.74 / $79.43	Professional		$33.11	$40.74	$79.43
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.84 / $40.74	Facility		$28.18	$28.84	$40.74
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18