Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $91.20 / $39,810.72	Facility		$81.28	$91.20	$39,810.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $97.72	Professional		$81.28	$81.28	$97.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $213.80 / $354.81	Facility		$112.20	$213.80	$354.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $89.13	Professional		$81.28	$81.28	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $81.28 / $81.28	Facility		$77.62	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $95.50	Professional		$81.28	$81.28	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $89.13	Professional		$81.28	$81.28	$89.13
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $107.15 / $131.83	Facility		$79.43	$107.15	$131.83