Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.76 / $23.71 / $242.70	Facility		$19.76	$23.71	$242.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $37.15	Professional		$21.70	$21.70	$37.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.94 / $39.06 / $94.84	Facility		$25.94	$39.06	$94.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $21.70	Professional		$21.70	$21.70	$21.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.47 / $21.70 / $21.70	Facility		$20.47	$21.70	$21.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $21.70	Professional		$21.70	$21.70	$21.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $36.36	Professional		$21.70	$21.70	$36.36
United Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $24.16	Professional		$21.70	$21.70	$24.16
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $26.77 / $78.68 / $120.69	Professional		$26.77	$78.68	$120.69