Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.43 / $87.84 / $156.86	Facility		$78.43	$87.84	$156.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $78.93	Professional		$78.93	$78.93	$78.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.08 / $142.07 / $358.06	Facility		$94.08	$142.07	$358.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.43 / $78.93 / $78.93	Professional		$78.43	$78.93	$78.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.47 / $78.93 / $78.93	Facility		$74.47	$78.93	$78.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $78.93	Professional		$78.93	$78.93	$78.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $82.81 / $128.18 / $243.62	Professional		$82.81	$128.18	$243.62
United Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $78.93	Professional		$78.93	$78.93	$78.93
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,750.00 / $2,920.00 / $3,000.00	Professional		$2,750.00	$2,920.00	$3,000.00