Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.87 / $46.87 / $57.67	Facility		$46.87	$46.87	$57.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.87 / $46.87 / $46.87	Professional		$46.87	$46.87	$46.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.77 / $82.71 / $196.79	Facility		$54.77	$82.71	$196.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $46.86 / $46.86	Professional		$45.95	$46.86	$46.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.87 / $46.87 / $46.87	Facility		$46.87	$46.87	$46.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.87 / $46.87 / $46.87	Professional		$46.87	$46.87	$46.87
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $72.23 / $133.88	Professional		$58.88	$72.23	$133.88
United Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $45.95 / $45.95	Professional		$45.95	$45.95	$45.95
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $13.50 / $17.18	Professional		$12.27	$13.50	$17.18