Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.00 / $37.00 / $45.53	Facility		$37.00	$37.00	$45.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $37.00 / $37.00	Professional		$37.00	$37.00	$37.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.58 / $71.81 / $136.50	Facility		$42.58	$71.81	$136.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $40.70 / $40.70	Professional		$36.28	$40.70	$40.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.71 / $40.71 / $40.71	Facility		$40.71	$40.71	$40.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.71 / $40.71 / $40.71	Professional		$40.71	$40.71	$40.71
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $48.88 / $92.90	Professional		$31.58	$48.88	$92.90
United Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $39.90 / $39.90	Professional		$39.90	$39.90	$39.90
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