Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.47 / $69.97 / $124.94	Facility		$62.47	$69.97	$124.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $63.68 / $63.68	Professional		$63.68	$63.68	$63.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.09 / $108.26 / $278.33	Facility		$75.09	$108.26	$278.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.47 / $63.68 / $63.68	Professional		$62.47	$63.68	$63.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.08 / $63.68 / $63.68	Facility		$60.08	$63.68	$63.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $63.68 / $63.68	Professional		$63.68	$63.68	$63.68
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $103.42 / $196.55	Professional		$66.81	$103.42	$196.55
United Facility/Professional Professional Modifier Low / Median / High Price $55.40 / $63.68 / $71.31	Professional		$55.40	$63.68	$71.31
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $34.89 / $43.65 / $82.08	Professional		$34.89	$43.65	$82.08