Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $19.00 / $19.00	Facility		$19.00	$19.00	$19.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $105.00 / $282.00	Professional		$19.00	$105.00	$282.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.86 / $90.96 / $194.06	Facility		$81.86	$90.96	$194.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $33.32 / $57.47	Professional		$33.32	$33.32	$57.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.75 / $178.83 / $219.95	Facility		$92.75	$178.83	$219.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.73 / $105.73 / $132.16	Professional		$105.73	$105.73	$132.16
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $26.44 / $167.13	Professional		$20.20	$26.44	$167.13
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $91.15 / $106.46 / $160.79	Professional		$91.15	$106.46	$160.79