Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $68.92 / $75.73	Facility		$61.54	$68.92	$75.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.96 / $61.54 / $61.54	Professional		$49.96	$61.54	$61.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.14 / $108.73 / $279.55	Facility		$72.14	$108.73	$279.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $61.54 / $61.54	Professional		$60.34	$61.54	$61.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $61.54 / $61.54	Facility		$61.54	$61.54	$61.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $61.54 / $61.54	Professional		$61.54	$61.54	$61.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $63.96 / $107.18	Professional		$63.96	$63.96	$107.18
United Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $61.54 / $63.96	Professional		$60.34	$61.54	$63.96
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $45.08 / $63.56 / $73.84	Professional		$45.08	$63.56	$73.84