Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.87 / $53.87 / $66.29	Facility		$53.87	$53.87	$66.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.87 / $53.87 / $53.87	Professional		$53.87	$53.87	$53.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.98 / $79.23 / $105.64	Facility		$31.98	$79.23	$105.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $53.87 / $53.87	Professional		$52.82	$53.87	$53.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.87 / $53.87 / $53.87	Facility		$53.87	$53.87	$53.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.87 / $53.87 / $53.87	Professional		$53.87	$53.87	$53.87
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $23.71 / $36.70 / $69.75	Professional		$23.71	$36.70	$69.75
United Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $52.82 / $52.82	Professional		$52.82	$52.82	$52.82
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $21.44 / $23.58 / $30.02	Professional		$21.44	$23.58	$30.02