Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.26 / $78.31 / $80.30	Facility		$65.26	$78.31	$80.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.26 / $66.00 / $68.64	Professional		$65.26	$66.00	$68.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.90 / $118.80 / $288.47	Facility		$78.90	$118.80	$288.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $66.00	Professional		$66.00	$66.00	$66.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.26 / $66.00 / $66.00	Facility		$62.26	$66.00	$66.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $66.00	Professional		$66.00	$66.00	$66.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $110.60	Professional		$66.00	$66.00	$110.60
United Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $70.68	Professional		$66.00	$66.00	$70.68
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $43.46 / $55.31 / $3,375.00	Professional		$43.46	$55.31	$3,375.00