Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $89.13 / $10,000.00	Facility		$70.79	$89.13	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $83.18	Professional		$70.79	$70.79	$83.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $104.71 / $147.91	Facility		$83.18	$104.71	$147.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $77.62	Professional		$70.79	$70.79	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $70.79 / $70.79	Facility		$66.07	$70.79	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $81.28	Professional		$70.79	$70.79	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $70.79 / $75.86	Professional		$66.07	$70.79	$75.86
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $112.20 / $131.83	Facility		$79.43	$112.20	$131.83