Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.89 / $85.26 / $189.94	Facility		$73.89	$85.26	$189.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $70.67 / $95.75	Professional		$55.16	$70.67	$95.75
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $14.48 / $14.48 / $14.48	Professional	25	$14.48	$14.48	$14.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.13 / $92.13 / $141.16	Professional		$92.13	$92.13	$141.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.34 / $127.49 / $176.40	Professional		$88.34	$127.49	$176.40
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $111.58 / $145.79 / $270.81	Professional		$111.58	$145.79	$270.81
United Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $95.56 / $192.03	Professional		$72.00	$95.56	$192.03
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $47.28 / $61.31 / $80.04	Professional		$47.28	$61.31	$80.04