Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $45.71	Facility		$38.02	$38.02	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.02 / $38.02	Professional		$30.90	$38.02	$38.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $1,023.29 / $2,818.38	Facility		$58.88	$1,023.29	$2,818.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $38.02 / $43.65	Professional		$37.15	$38.02	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $72.44	Professional		$38.02	$38.02	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $38.02	Professional		$37.15	$37.15	$38.02