Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.67 / $56.67 / $68.00	Facility		$56.67	$56.67	$68.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $58.93 / $58.93	Professional		$57.53	$58.93	$58.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.87 / $104.00 / $231.76	Facility		$68.87	$104.00	$231.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.78 / $58.93 / $58.93	Professional		$57.78	$58.93	$58.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.93 / $58.93 / $58.93	Facility		$58.93	$58.93	$58.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $58.93 / $58.93	Professional		$58.93	$58.93	$58.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $85.53 / $181.89	Professional		$58.93	$85.53	$181.89
United Facility/Professional Professional Modifier Low / Median / High Price $57.78 / $57.78 / $138.66	Professional		$57.78	$57.78	$138.66
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $62.34 / $79.34 / $3,000.00	Professional		$62.34	$79.34	$3,000.00