Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $16.47 / $20.00	Professional		$10.58	$16.47	$20.00
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 $25.00 / $25.00 / $43.12	Professional		$25.00	$25.00	$43.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.75 / $178.83 / $213.53	Facility		$92.75	$178.83	$213.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $23.75	Professional		$19.00	$19.00	$23.75
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $75.65 / $158.05 / $249.79	Professional		$75.65	$158.05	$249.79
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $3,000.00 / $4,410.00	Professional		$2,500.00	$3,000.00	$4,410.00