Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $67.61 / $83.18	Professional		$58.88	$67.61	$83.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $81.28	Professional		$66.07	$66.07	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $208.93	Professional		$77.62	$107.15	$208.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $89.13 / $177.83	Professional		$64.57	$89.13	$177.83
Optum Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $134.90	Professional		$60.26	$85.11	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $100.00 / $181.97	Professional		$64.57	$100.00	$181.97
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89