Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.54 / $87.68 / $534.60	Facility		$45.54	$87.68	$534.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.10 / $56.42 / $56.42	Professional		$55.10	$56.42	$56.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.55 / $84.75 / $232.54	Facility		$67.55	$84.75	$232.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $56.50	Professional		$56.42	$56.42	$56.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Facility		$56.42	$56.42	$56.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Professional		$56.42	$56.42	$56.42
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $85.57 / $174.14	Professional		$56.42	$85.57	$174.14
United Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $56.50 / $96.44	Professional		$56.50	$56.50	$96.44
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $78.98 / $114.25	Professional		$56.42	$78.98	$114.25