Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.52 / $40.22 / $245.63	Facility		$33.52	$40.22	$245.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $33.52 / $36.40	Professional		$27.37	$33.52	$36.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.72 / $67.93 / $174.72	Facility		$57.72	$67.93	$174.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $22.80 / $22.81	Professional		$14.04	$22.80	$22.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.92 / $132.62 / $180.87	Facility		$64.92	$132.62	$180.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $18.45 / $18.45	Professional		$18.45	$18.45	$18.45
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $66.84 / $124.85	Professional		$36.65	$66.84	$124.85
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $44.40	Professional		$14.74	$21.05	$44.40
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $29.36 / $37.36 / $3,375.00	Professional		$29.36	$37.36	$3,375.00