Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $58.22 / $83.77	Professional		$56.42	$58.22	$83.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.67 / $61.86 / $131.97	Facility		$55.67	$61.86	$131.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.05 / $42.05 / $42.05	Professional		$42.05	$42.05	$42.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.53 / $302.70 / $440.12	Facility		$6.53	$302.70	$440.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.53 / $93.46 / $261.62	Professional		$42.53	$93.46	$261.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $79.61 / $79.61 / $197.68	Professional		$79.61	$79.61	$197.68
United Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $64.53 / $104.75	Professional		$43.15	$64.53	$104.75
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,750.00 / $3,500.00	Professional		$2,500.00	$2,750.00	$3,500.00