Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $53.70	Facility		$41.69	$41.69	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $41.69 / $41.69	Professional		$33.88	$41.69	$41.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $107.15 / $177.83	Facility		$56.23	$107.15	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $47.86	Professional		$41.69	$41.69	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $57.54 / $66.07	Professional		$34.67	$57.54	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $41.69 / $53.70	Professional		$34.67	$41.69	$53.70