Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $75.26 / $134.40	Facility		$67.20	$75.26	$134.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $67.20	Professional		$49.95	$49.95	$67.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.72 / $74.93 / $205.58	Facility		$59.72	$74.93	$205.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $67.20	Professional		$49.95	$49.95	$67.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.12 / $49.95 / $49.95	Facility		$47.12	$49.95	$49.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $49.95	Professional		$49.95	$49.95	$49.95
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $67.79 / $83.17 / $154.16	Professional		$67.79	$83.17	$154.16
United Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $49.95	Professional		$49.95	$49.95	$49.95
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $75.01 / $82.51 / $105.01	Professional		$75.01	$82.51	$105.01