Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.38 / $45.23 / $80.76	Facility		$40.38	$45.23	$80.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $40.38	Professional		$39.45	$39.45	$40.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.16 / $59.18 / $162.37	Facility		$47.16	$59.18	$162.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $40.38	Professional		$39.45	$39.45	$40.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.21 / $39.45 / $39.45	Facility		$37.21	$39.45	$39.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $39.45	Professional		$39.45	$39.45	$39.45
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $53.54 / $65.68 / $121.76	Professional		$53.54	$65.68	$121.76
United Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $94.68	Professional		$39.45	$39.45	$94.68
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $106.04 / $116.64 / $148.46	Professional		$106.04	$116.64	$148.46