Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.76 / $43.41 / $47.69	Facility		$38.76	$43.41	$47.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.46 / $38.76 / $38.76	Professional		$31.46	$38.76	$38.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.43 / $57.00 / $76.00	Facility		$45.43	$57.00	$76.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $38.76 / $38.76	Professional		$38.00	$38.76	$38.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.76 / $38.76 / $38.76	Facility		$38.76	$38.76	$38.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $38.76 / $38.76	Professional		$38.76	$38.76	$38.76
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $40.28 / $40.28 / $67.50	Professional		$40.28	$40.28	$67.50
United Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $38.00 / $40.28	Professional		$38.00	$38.00	$40.28
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $42.64 / $54.26	Professional		$38.76	$42.64	$54.26