Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $53.70 / $95.50	Facility		$47.86	$53.70	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $47.86 / $56.23	Professional		$46.77	$47.86	$56.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $125.89 / $208.93	Facility		$64.57	$125.89	$208.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $52.48	Professional		$47.86	$47.86	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $47.86 / $47.86	Facility		$44.67	$47.86	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $51.29	Professional		$47.86	$47.86	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $63.10 / $79.43	Facility		$46.77	$63.10	$79.43