Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.43 / $64.31 / $114.86	Facility		$57.43	$64.31	$114.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $57.43	Professional		$56.10	$56.10	$57.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.15 / $90.93 / $245.20	Facility		$66.15	$90.93	$245.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $57.43	Professional		$56.10	$56.10	$57.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.93 / $56.10 / $56.10	Facility		$52.93	$56.10	$56.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $56.10	Professional		$56.10	$56.10	$56.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $88.60 / $173.15	Professional		$56.10	$88.60	$173.15
United Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $56.10	Professional		$56.10	$56.10	$56.10
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $53.69 / $59.06 / $75.17	Professional		$53.69	$59.06	$75.17