Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.40 / $36.40 / $6,633.00	Facility		$36.40	$36.40	$6,633.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.56 / $36.40 / $53.95	Professional		$29.56	$36.40	$53.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $60.83 / $104.93	Facility		$0.02	$60.83	$104.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $41.80 / $41.80	Professional		$36.40	$41.80	$41.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.54 / $88.54 / $88.54	Facility		$88.54	$88.54	$88.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.54 / $88.54 / $88.54	Professional		$88.54	$88.54	$88.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $36.40 / $60.62	Professional		$36.40	$36.40	$60.62
United Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $42.84 / $42.84	Professional		$36.40	$42.84	$42.84
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $50.97 / $3,375.00	Professional		$40.04	$50.97	$3,375.00