Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.30 / $48.50 / $53.28	Facility		$43.30	$48.50	$53.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $43.30 / $43.30	Professional		$35.15	$43.30	$43.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $106.59 / $183.86	Facility		$0.02	$106.59	$183.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $40.53 / $40.53	Professional		$40.53	$40.53	$40.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.87 / $28.87 / $28.87	Facility		$28.87	$28.87	$28.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $28.87 / $28.87	Professional		$28.87	$28.87	$28.87
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $40.53 / $67.92	Professional		$40.53	$40.53	$67.92
United Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $40.53 / $42.96	Professional		$40.53	$40.53	$42.96
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,750.00 / $3,500.00	Professional		$2,500.00	$2,750.00	$3,500.00