Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $154.88	Professional		$77.62	$112.20	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $131.83	Professional		$104.71	$104.71	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $213.80 / $407.38	Professional		$128.82	$213.80	$407.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $263.03 / $407.38	Professional		$154.88	$263.03	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $295.12	Professional		$128.82	$169.82	$295.12
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $2,511.89 / $2,511.89	Facility		$117.49	$2,511.89	$2,511.89
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62