Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.42 / $54.23 / $96.84	Facility		$48.42	$54.23	$96.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $49.03 / $49.03	Professional		$49.03	$49.03	$49.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.82 / $83.35 / $214.30	Facility		$57.82	$83.35	$214.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.42 / $49.03 / $49.03	Professional		$48.42	$49.03	$49.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.26 / $49.03 / $49.03	Facility		$46.26	$49.03	$49.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $49.03 / $49.03	Professional		$49.03	$49.03	$49.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $51.44 / $79.62 / $151.33	Professional		$51.44	$79.62	$151.33
United Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $49.03 / $49.03	Professional		$49.03	$49.03	$49.03
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $46.84 / $54.71 / $2,500.00	Professional		$46.84	$54.71	$2,500.00