Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.10 / $141.76 / $251.64	Facility		$104.10	$141.76	$251.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $95.45 / $127.26	Professional		$72.70	$95.45	$127.26
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $20.57 / $20.57 / $20.57	Professional	25	$20.57	$20.57	$20.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.63 / $133.63 / $204.10	Professional		$133.63	$133.63	$204.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.01 / $182.59 / $247.06	Professional		$128.01	$182.59	$247.06
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $161.83 / $211.46 / $392.79	Professional		$161.83	$211.46	$392.79
United Facility/Professional Professional Modifier Low / Median / High Price $107.35 / $125.95 / $215.89	Professional		$107.35	$125.95	$215.89
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $64.02 / $80.81 / $110.23	Professional		$64.02	$80.81	$110.23