Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.75 / $63.75 / $78.44	Facility		$63.75	$63.75	$78.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Professional		$63.75	$63.75	$63.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.72 / $114.99 / $306.83	Facility		$74.72	$114.99	$306.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $63.75 / $63.75	Professional		$62.50	$63.75	$63.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Facility		$63.75	$63.75	$63.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Professional		$63.75	$63.75	$63.75
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $66.89 / $103.53 / $196.76	Professional		$66.89	$103.53	$196.76
United Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $62.50 / $62.50	Professional		$62.50	$62.50	$62.50
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $66.30 / $72.93 / $92.82	Professional		$66.30	$72.93	$92.82