Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.55 / $54.55 / $67.12	Facility		$54.55	$54.55	$67.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.55 / $54.55 / $54.55	Professional		$54.55	$54.55	$54.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.45 / $84.63 / $232.21	Facility		$67.45	$84.63	$232.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.55 / $54.55 / $56.42	Professional		$54.55	$54.55	$56.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.55 / $54.55 / $54.55	Facility		$54.55	$54.55	$54.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.55 / $54.55 / $54.55	Professional		$54.55	$54.55	$54.55
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $99.58 / $184.60	Professional		$81.17	$99.58	$184.60
United Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Professional		$56.42	$56.42	$56.42
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $54.55 / $60.01 / $76.37	Professional		$54.55	$60.01	$76.37