Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.67 / $65.59 / $109.34	Facility		$54.67	$65.59	$109.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.67 / $55.57 / $61.23	Professional		$54.67	$55.57	$61.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.53 / $86.69 / $228.72	Facility		$65.53	$86.69	$228.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $55.57	Professional		$55.57	$55.57	$55.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.42 / $55.57 / $55.57	Facility		$52.42	$55.57	$55.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $55.57	Professional		$55.57	$55.57	$55.57
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $93.12	Professional		$55.57	$55.57	$93.12
United Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $59.88	Professional		$55.57	$55.57	$59.88
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $52.14 / $65.22 / $3,375.00	Professional		$52.14	$65.22	$3,375.00