Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.74 / $63.29 / $64.90	Facility		$52.74	$63.29	$64.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $63.92	Professional		$46.32	$46.32	$63.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.38 / $83.38 / $202.45	Facility		$55.38	$83.38	$202.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $48.07	Professional		$46.32	$46.32	$48.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.70 / $46.32 / $46.32	Facility		$43.70	$46.32	$46.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $46.32	Professional		$46.32	$46.32	$46.32
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $77.62	Professional		$46.32	$46.32	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $51.56	Professional		$46.32	$46.32	$51.56
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $78.48 / $86.34 / $109.89	Professional		$78.48	$86.34	$109.89