Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $102.33 / $20,892.96	Facility		$79.43	$102.33	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $95.50	Professional		$79.43	$79.43	$95.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $120.23 / $169.82	Facility		$95.50	$120.23	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $87.10	Professional		$79.43	$79.43	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $79.43 / $79.43	Facility		$75.86	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $93.33	Professional		$81.28	$81.28	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $79.43 / $87.10	Professional		$66.07	$79.43	$87.10
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $123.03 / $144.54	Facility		$85.11	$123.03	$144.54