Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.80 / $53.54 / $3,252.10	Facility		$47.80	$53.54	$3,252.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $45.31 / $47.80	Professional		$45.31	$45.31	$47.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.43 / $74.80 / $198.04	Facility		$53.43	$74.80	$198.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $45.31 / $47.80	Professional		$45.31	$45.31	$47.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.75 / $45.31 / $45.31	Facility		$42.75	$45.31	$45.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $45.31 / $45.31	Professional		$45.31	$45.31	$45.31
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $47.54 / $73.58 / $139.85	Professional		$47.54	$73.58	$139.85
United Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $45.31 / $50.75	Professional		$44.60	$45.31	$50.75
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $35.64 / $40.18 / $57.80	Professional		$35.64	$40.18	$57.80