Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.04 / $62.45 / $64.04	Facility		$52.04	$62.45	$64.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.04 / $52.47 / $54.57	Professional		$52.04	$52.47	$54.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.73 / $94.45 / $229.33	Facility		$62.73	$94.45	$229.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $52.47 / $52.47	Professional		$52.47	$52.47	$52.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.50 / $52.47 / $52.47	Facility		$49.50	$52.47	$52.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $52.47 / $52.47	Professional		$52.47	$52.47	$52.47
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $52.47 / $87.92	Professional		$52.47	$52.47	$87.92
United Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $52.47 / $55.62	Professional		$52.47	$52.47	$55.62
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $27.63 / $30.39 / $38.68	Professional		$27.63	$30.39	$38.68