Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.39 / $76.06 / $78.00	Facility		$63.39	$76.06	$78.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $68.44	Professional		$62.10	$62.10	$68.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.23 / $96.88 / $255.59	Facility		$73.23	$96.88	$255.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $63.39	Professional		$62.10	$62.10	$63.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.58 / $62.10 / $62.10	Facility		$58.58	$62.10	$62.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $62.10	Professional		$62.10	$62.10	$62.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $104.06	Professional		$62.10	$62.10	$104.06
United Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $74.89	Professional		$62.10	$62.10	$74.89
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $79.20 / $100.80	Professional		$72.00	$79.20	$100.80