Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.67 / $65.67 / $120.15	Facility		$65.67	$65.67	$120.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.67 / $65.67 / $65.67	Professional		$65.67	$65.67	$65.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.12 / $124.78 / $332.97	Facility		$77.12	$124.78	$332.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $66.06 / $66.06	Professional		$66.06	$66.06	$66.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.25 / $72.25 / $72.25	Facility		$72.25	$72.25	$72.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $72.25 / $72.25	Professional		$72.25	$72.25	$72.25
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $77.01 / $119.20 / $226.55	Professional		$77.01	$119.20	$226.55
United Facility/Professional Professional Modifier Low / Median / High Price $73.40 / $77.26 / $84.41	Professional		$73.40	$77.26	$84.41
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $80.36 / $3,000.00	Professional		$64.23	$80.36	$3,000.00