Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $35,382.00 / $153,273.60	Facility		$59.40	$35,382.00	$153,273.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.40 / $59.41 / $59.70	Professional		$59.40	$59.41	$59.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.06 / $98.08 / $259.66	Facility		$70.06	$98.08	$259.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $59.41 / $59.70	Professional		$59.41	$59.41	$59.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.05 / $59.41 / $59.41	Facility		$56.05	$59.41	$59.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $59.41 / $59.41	Professional		$59.41	$59.41	$59.41
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $96.48 / $183.37	Professional		$62.33	$96.48	$183.37
United Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $59.41 / $86.14	Professional		$59.41	$59.41	$86.14
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $83.26 / $3,000.00	Professional		$66.56	$83.26	$3,000.00