Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.08 / $55.08 / $67.78	Facility		$55.08	$55.08	$67.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.08 / $55.08 / $55.08	Professional		$55.08	$55.08	$55.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.56 / $81.00 / $222.25	Facility		$64.56	$81.00	$222.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $55.08 / $55.08	Professional		$54.00	$55.08	$55.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.08 / $55.08 / $55.08	Facility		$55.08	$55.08	$55.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.08 / $55.08 / $55.08	Professional		$55.08	$55.08	$55.08
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $48.13 / $59.04 / $109.45	Professional		$48.13	$59.04	$109.45
United Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $54.00	Professional		$54.00	$54.00	$54.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $34.79 / $53.38	Professional		$15.30	$34.79	$53.38