Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $38.25 / $45.90	Facility		$38.25	$38.25	$45.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Professional		$38.25	$38.25	$38.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.83 / $56.25 / $154.34	Facility		$44.83	$56.25	$154.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $38.25 / $38.25	Professional		$37.50	$38.25	$38.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Facility		$38.25	$38.25	$38.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Professional		$38.25	$38.25	$38.25
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $58.01 / $118.06	Professional		$38.25	$58.01	$118.06
United Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $37.50 / $38.25	Professional		$32.13	$37.50	$38.25
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $35.70 / $39.27 / $49.98	Professional		$35.70	$39.27	$49.98