Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.37 / $92.25 / $164.74	Facility		$82.37	$92.25	$164.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $69.73 / $82.37	Professional		$69.73	$69.73	$82.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.36 / $104.60 / $286.99	Facility		$83.36	$104.60	$286.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $69.73 / $82.37	Professional		$69.73	$69.73	$82.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.78 / $69.73 / $69.73	Facility		$65.78	$69.73	$69.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $69.73 / $69.73	Professional		$69.73	$69.73	$69.73
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $116.10 / $229.70	Professional		$69.73	$116.10	$229.70
United Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $69.73 / $69.73	Professional		$69.73	$69.73	$69.73
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $111.18 / $170.54	Professional		$45.71	$111.18	$170.54