Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.75 / $69.75 / $84.17	Facility		$69.75	$69.75	$84.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.15 / $75.15 / $75.15	Professional		$75.15	$75.15	$75.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.57 / $135.27 / $340.87	Facility		$89.57	$135.27	$340.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.19 / $70.19 / $75.15	Professional		$70.19	$70.19	$75.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.88 / $80.88 / $80.88	Facility		$80.88	$80.88	$80.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.88 / $80.88 / $80.88	Professional		$80.88	$80.88	$80.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $86.22 / $133.46 / $253.65	Professional		$86.22	$133.46	$253.65
United Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $72.20 / $86.51	Professional		$72.20	$72.20	$86.51
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $29.95 / $73.80 / $113.20	Professional		$29.95	$73.80	$113.20