Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $35.40 / $43.57	Facility		$35.40	$35.40	$43.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $35.40 / $35.40	Professional		$35.40	$35.40	$35.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.51 / $52.08 / $142.90	Facility		$41.51	$52.08	$142.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $35.40 / $35.40	Professional		$34.72	$35.40	$35.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $35.40 / $35.40	Facility		$35.40	$35.40	$35.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $35.40 / $35.40	Professional		$35.40	$35.40	$35.40
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $57.51 / $109.29	Professional		$37.15	$57.51	$109.29
United Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $34.72 / $34.72	Professional		$34.72	$34.72	$34.72
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $38.95 / $49.57	Professional		$35.40	$38.95	$49.57