Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.43 / $88.43 / $108.81	Facility		$88.43	$88.43	$108.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.43 / $88.43 / $88.43	Professional		$88.43	$88.43	$88.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.65 / $130.05 / $356.84	Facility		$103.65	$130.05	$356.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.70 / $88.43 / $88.43	Professional		$86.70	$88.43	$88.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.43 / $88.43 / $88.43	Facility		$88.43	$88.43	$88.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.43 / $88.43 / $88.43	Professional		$88.43	$88.43	$88.43
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $124.73 / $153.01 / $283.64	Professional		$124.73	$153.01	$283.64
United Facility/Professional Professional Modifier Low / Median / High Price $86.70 / $86.70 / $91.90	Professional		$86.70	$86.70	$91.90
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $88.43 / $97.27 / $123.80	Professional		$88.43	$97.27	$123.80