Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.34 / $74.45 / $148.90	Facility		$74.34	$74.45	$148.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.34 / $74.36 / $81.34	Professional		$74.34	$74.36	$81.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.69 / $116.00 / $306.05	Facility		$87.69	$116.00	$306.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.36 / $74.45	Professional		$74.36	$74.36	$74.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.15 / $74.36 / $74.36	Facility		$70.15	$74.36	$74.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.36 / $74.36	Professional		$74.36	$74.36	$74.36
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.36 / $124.61	Professional		$74.36	$74.36	$124.61
United Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.36 / $78.81	Professional		$74.36	$74.36	$78.81
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $64.27 / $3,375.00	Professional		$50.50	$64.27	$3,375.00