Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.38 / $76.06 / $77.98	Facility		$63.38	$76.06	$77.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.81 / $79.86 / $95.83	Professional		$76.81	$79.86	$95.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.47 / $143.75 / $349.04	Facility		$95.47	$143.75	$349.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $79.86 / $79.86	Professional		$79.86	$79.86	$79.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.34 / $79.86 / $79.86	Facility		$75.34	$79.86	$79.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $79.86 / $79.86	Professional		$79.86	$79.86	$79.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $79.86 / $133.82	Professional		$79.86	$79.86	$133.82
United Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $79.86 / $141.49	Professional		$79.86	$79.86	$141.49
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $112.85 / $124.14 / $157.99	Professional		$112.85	$124.14	$157.99