Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.33 / $67.89 / $83.54	Facility		$22.33	$67.89	$83.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.89 / $67.89 / $67.89	Professional		$67.89	$67.89	$67.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.56 / $99.84 / $273.95	Facility		$79.56	$99.84	$273.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $67.88 / $67.88	Professional		$66.56	$67.88	$67.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.89 / $67.89 / $67.89	Facility		$67.89	$67.89	$67.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.89 / $67.89 / $67.89	Professional		$67.89	$67.89	$67.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $24.12 / $29.59 / $54.85	Professional		$24.12	$29.59	$54.85
United Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $66.56 / $66.56	Professional		$66.56	$66.56	$66.56
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $27.02 / $34.40 / $52.76	Professional		$27.02	$34.40	$52.76