Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.02 / $91.34 / $112.00	Facility		$91.02	$91.34	$112.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.02 / $91.34 / $99.92	Professional		$91.02	$91.34	$99.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.71 / $142.49 / $375.94	Facility		$107.71	$142.49	$375.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $91.34 / $91.34	Professional		$91.34	$91.34	$91.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.17 / $91.34 / $91.34	Facility		$86.17	$91.34	$91.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $91.34 / $91.34	Professional		$91.34	$91.34	$91.34
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $91.34 / $153.06	Professional		$91.34	$91.34	$153.06
United Facility/Professional Professional Modifier Low / Median / High Price $78.28 / $91.34 / $96.82	Professional		$78.28	$91.34	$96.82
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $92.09 / $117.21 / $3,375.00	Professional		$92.09	$117.21	$3,375.00