Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.75 / $90.44 / $161.50	Facility		$80.75	$90.44	$161.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $80.91	Professional		$80.91	$80.91	$80.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.44 / $145.63 / $367.04	Facility		$96.44	$145.63	$367.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.75 / $80.91 / $80.91	Professional		$80.75	$80.91	$80.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.33 / $80.91 / $80.91	Facility		$76.33	$80.91	$80.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $80.91	Professional		$80.91	$80.91	$80.91
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $84.89 / $131.40 / $249.73	Professional		$84.89	$131.40	$249.73
United Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $80.91	Professional		$80.91	$80.91	$80.91
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $69.97 / $81.72 / $3,500.00	Professional		$69.97	$81.72	$3,500.00