Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.40 / $71.40 / $85.68	Facility		$71.40	$71.40	$85.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $71.40 / $83.66	Professional		$71.40	$71.40	$83.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.04	Facility		$0.02	$0.02	$0.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.13 / $63.35 / $63.35	Professional		$61.13	$63.35	$63.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.40 / $71.40 / $71.40	Facility		$71.40	$71.40	$71.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $71.40 / $71.40	Professional		$71.40	$71.40	$71.40
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $108.29 / $220.38	Professional		$71.40	$108.29	$220.38
United Facility/Professional Professional Modifier Low / Median / High Price $64.26 / $79.80 / $79.80	Professional		$64.26	$79.80	$79.80
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $98.25 / $3,000.00	Professional		$71.40	$98.25	$3,000.00