Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.62 / $49.62 / $61.06	Facility		$49.62	$49.62	$61.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.62 / $49.62 / $49.62	Professional		$49.62	$49.62	$49.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.16 / $72.98 / $200.23	Facility		$58.16	$72.98	$200.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.65 / $49.62 / $49.62	Professional		$48.65	$49.62	$49.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.62 / $49.62 / $49.62	Facility		$49.62	$49.62	$49.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.62 / $49.62 / $49.62	Professional		$49.62	$49.62	$49.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $83.68 / $155.13	Professional		$68.20	$83.68	$155.13
United Facility/Professional Professional Modifier Low / Median / High Price $48.65 / $48.65 / $48.65	Professional		$48.65	$48.65	$48.65
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $39.70 / $43.67 / $55.58	Professional		$39.70	$43.67	$55.58