Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.65 / $177.19 / $217.31	Facility		$134.65	$177.19	$217.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.18 / $164.15 / $252.47	Professional		$115.18	$164.15	$252.47
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $364.70 / $364.70 / $364.70	Professional	25	$364.70	$364.70	$364.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.24 / $201.20 / $305.95	Professional		$134.24	$201.20	$305.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.56 / $248.96 / $478.36	Professional		$164.56	$248.96	$478.36
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $138.36 / $249.47 / $475.91	Professional		$138.36	$249.47	$475.91
United Facility/Professional Professional Modifier Low / Median / High Price $217.53 / $277.97 / $480.35	Professional		$217.53	$277.97	$480.35
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $103.93 / $155.75 / $202.06	Professional		$103.93	$155.75	$202.06