Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.72 / $74.72 / $89.66	Facility		$74.72	$74.72	$89.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.72 / $74.72 / $74.72	Professional		$74.72	$74.72	$74.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.04	Facility		$0.02	$0.02	$0.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $59.04 / $59.04	Professional		$59.04	$59.04	$59.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.94 / $136.94 / $136.94	Facility		$136.94	$136.94	$136.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.94 / $136.94 / $136.94	Professional		$136.94	$136.94	$136.94
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $417.58 / $633.29 / $1,288.85	Professional		$417.58	$633.29	$1,288.85
United Facility/Professional Professional Modifier Low / Median / High Price $83.51 / $83.51 / $200.42	Professional		$83.51	$83.51	$200.42
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $305.45 / $336.01 / $427.64	Professional		$305.45	$336.01	$427.64