Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $173.78	Facility		$63.10	$63.10	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $28.18	Professional		$15.85	$19.05	$28.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $48.98 / $144.54	Facility		$42.66	$48.98	$144.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $52.48	Professional		$16.22	$16.22	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $79.43 / $109.65	Facility		$40.74	$79.43	$109.65
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $47.86	Professional		$25.12	$25.12	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $16.60 / $27.54	Professional		$10.47	$16.60	$27.54
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $31.62	Facility		$25.70	$25.70	$31.62