Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.11 / $65.33 / $370.63	Facility		$53.11	$65.33	$370.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.33 / $65.33 / $76.55	Professional		$65.33	$65.33	$76.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.56 / $96.08 / $263.62	Facility		$76.56	$96.08	$263.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $65.33 / $65.33	Professional		$64.05	$65.33	$65.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.33 / $65.33 / $65.33	Facility		$65.33	$65.33	$65.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.33 / $65.33 / $65.33	Professional		$65.33	$65.33	$65.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $65.33 / $99.08 / $201.64	Professional		$65.33	$99.08	$201.64
United Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $64.05 / $65.33	Professional		$64.05	$64.05	$65.33
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $65.33 / $89.89 / $3,000.00	Professional		$65.33	$89.89	$3,000.00