Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.65 / $85.98 / $88.17	Facility		$71.65	$85.98	$88.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.20 / $86.84	Professional		$68.20	$68.20	$86.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.53 / $122.76 / $298.08	Facility		$81.53	$122.76	$298.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.20 / $70.77	Professional		$68.20	$68.20	$70.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.34 / $68.20 / $68.20	Facility		$64.34	$68.20	$68.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.20 / $68.20	Professional		$68.20	$68.20	$68.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.20 / $119.78	Professional		$68.20	$68.20	$119.78
United Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.20 / $75.92	Professional		$68.20	$68.20	$75.92
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $114.73 / $146.02 / $355.39	Professional		$114.73	$146.02	$355.39