Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $57.60 / $59.06	Facility		$48.00	$57.60	$59.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $49.89	Professional		$47.97	$47.97	$49.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.35 / $86.35 / $209.66	Facility		$57.35	$86.35	$209.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $48.00	Professional		$47.97	$47.97	$48.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.26 / $47.97 / $47.97	Facility		$45.26	$47.97	$47.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $47.97	Professional		$47.97	$47.97	$47.97
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $80.38	Professional		$47.97	$47.97	$80.38
United Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $47.97	Professional		$47.97	$47.97	$47.97
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