Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.93 / $91.12 / $93.43	Facility		$75.93	$91.12	$93.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $82.29	Professional		$75.22	$75.22	$82.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.70 / $117.34 / $309.58	Facility		$88.70	$117.34	$309.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $75.93	Professional		$75.22	$75.22	$75.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.95 / $75.22 / $75.22	Facility		$70.95	$75.22	$75.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $75.22	Professional		$75.22	$75.22	$75.22
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $126.05	Professional		$75.22	$75.22	$126.05
United Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $83.74	Professional		$75.22	$75.22	$83.74
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $105.41 / $131.86 / $3,375.00	Professional		$105.41	$131.86	$3,375.00