Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.56 / $70.27 / $58,550.11	Facility		$58.56	$70.27	$58,550.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.56 / $60.29 / $70.98	Professional		$58.56	$60.29	$70.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.09 / $94.05 / $248.14	Facility		$71.09	$94.05	$248.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $60.29 / $60.29	Professional		$60.29	$60.29	$60.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.88 / $60.29 / $60.29	Facility		$56.88	$60.29	$60.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $60.29 / $60.29	Professional		$60.29	$60.29	$60.29
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $60.29 / $101.03	Professional		$60.29	$60.29	$101.03
United Facility/Professional Professional Modifier Low / Median / High Price $52.50 / $60.29 / $63.91	Professional		$52.50	$60.29	$63.91
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $42.72 / $54.38 / $3,375.00	Professional		$42.72	$54.38	$3,375.00