Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.16 / $61.78 / $110.32	Facility		$55.16	$61.78	$110.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $55.16 / $55.16	Professional		$55.16	$55.16	$55.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.94 / $82.74 / $227.03	Facility		$65.94	$82.74	$227.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $55.16 / $55.16	Professional		$55.16	$55.16	$55.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.04 / $55.16 / $55.16	Facility		$52.04	$55.16	$55.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $55.16 / $55.16	Professional		$55.16	$55.16	$55.16
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $91.84 / $181.70	Professional		$55.16	$91.84	$181.70
United Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $55.16 / $55.16	Professional		$55.16	$55.16	$55.16
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $30.80 / $39.20	Professional		$28.00	$30.80	$39.20