Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.22 / $108.36 / $524.86	Facility		$68.22	$108.36	$524.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.36 / $108.36 / $126.97	Professional		$108.36	$108.36	$126.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.01 / $159.36 / $437.26	Facility		$127.01	$159.36	$437.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.24 / $108.35 / $108.35	Professional		$106.24	$108.35	$108.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.36 / $108.36 / $108.36	Facility		$108.36	$108.36	$108.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.36 / $108.36 / $108.36	Professional		$108.36	$108.36	$108.36
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $108.36 / $164.34 / $334.45	Professional		$108.36	$164.34	$334.45
United Facility/Professional Professional Modifier Low / Median / High Price $106.24 / $106.24 / $106.24	Professional		$106.24	$106.24	$106.24
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $93.96 / $119.59 / $3,000.00	Professional		$93.96	$119.59	$3,000.00