Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.32 / $119.47 / $147.01	Facility		$25.32	$119.47	$147.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $119.47	Professional		$25.33	$25.33	$119.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.19 / $45.59 / $114.91	Facility		$30.19	$45.59	$114.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $119.47	Professional		$25.33	$25.33	$119.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.90 / $25.33 / $25.33	Facility		$23.90	$25.33	$25.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $25.33	Professional		$25.33	$25.33	$25.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $26.58 / $41.14 / $78.18	Professional		$26.58	$41.14	$78.18
United Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $26.85	Professional		$25.33	$25.33	$26.85
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $276.95 / $323.49 / $488.56	Professional		$276.95	$323.49	$488.56