Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $42.84 / $126.95	Facility		$38.25	$42.84	$126.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Professional		$38.25	$38.25	$38.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.83 / $56.25 / $154.34	Facility		$44.83	$56.25	$154.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $38.25 / $38.25	Professional		$37.50	$38.25	$38.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Facility		$38.25	$38.25	$38.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Professional		$38.25	$38.25	$38.25
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $2.13 / $3.95	Professional		$1.74	$2.13	$3.95
United Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $37.50	Professional		$37.50	$37.50	$37.50
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $0.91 / $43.99 / $67.47	Professional		$0.91	$43.99	$67.47