Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.96 / $44.35 / $45.48	Facility		$36.96	$44.35	$45.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $38.15	Professional		$36.69	$36.69	$38.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.26 / $57.24 / $151.01	Facility		$43.26	$57.24	$151.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $36.96	Professional		$36.69	$36.69	$36.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.61 / $36.69 / $36.69	Facility		$34.61	$36.69	$36.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $36.69	Professional		$36.69	$36.69	$36.69
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $61.48	Professional		$36.69	$36.69	$61.48
United Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $40.84	Professional		$36.69	$36.69	$40.84
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $52.70 / $65.92 / $3,375.00	Professional		$52.70	$65.92	$3,375.00