Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $63.10 / $112.20	Facility		$56.23	$63.10	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $66.07	Professional		$56.23	$56.23	$66.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $147.91 / $245.47	Facility		$75.86	$147.91	$245.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $61.66	Professional		$56.23	$56.23	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $56.23 / $56.23	Facility		$52.48	$56.23	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $64.57	Professional		$56.23	$56.23	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $60.26	Professional		$56.23	$56.23	$60.26
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $74.13 / $91.20	Facility		$53.70	$74.13	$91.20