Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.15 / $117.15 / $117.15	Facility		$117.15	$117.15	$117.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.49 / $38.54 / $101.08	Professional		$34.49	$38.54	$101.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.26 / $65.73 / $96.07	Professional		$35.26	$65.73	$96.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $125.00 / $125.00	Facility		$125.00	$125.00	$125.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $64.70 / $97.78	Professional		$38.00	$64.70	$97.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $69.81 / $132.94	Professional		$40.36	$69.81	$132.94
United Facility/Professional Professional Modifier Low / Median / High Price $46.06 / $61.28 / $128.12	Professional		$46.06	$61.28	$128.12
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $29.33 / $36.36 / $48.71	Professional		$29.33	$36.36	$48.71