Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.53 / $57.53 / $70.79	Facility		$57.53	$57.53	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $57.53 / $57.53	Professional		$57.53	$57.53	$57.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.43 / $84.60 / $232.13	Facility		$67.43	$84.60	$232.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $57.52 / $57.52	Professional		$56.40	$57.52	$57.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.53 / $57.53 / $57.53	Facility		$57.53	$57.53	$57.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $57.53 / $57.53	Professional		$57.53	$57.53	$57.53
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $60.36 / $93.43 / $177.57	Professional		$60.36	$93.43	$177.57
United Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $56.40 / $61.72	Professional		$56.40	$56.40	$61.72
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $63.28 / $80.54	Professional		$57.53	$63.28	$80.54