Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.26 / $43.51 / $44.62	Facility		$36.26	$43.51	$44.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.26 / $36.28 / $40.61	Professional		$36.26	$36.28	$40.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.37 / $65.30 / $158.57	Facility		$43.37	$65.30	$158.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $36.28 / $36.28	Professional		$36.28	$36.28	$36.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $36.28 / $36.28	Facility		$34.22	$36.28	$36.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $36.28 / $36.28	Professional		$36.28	$36.28	$36.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $36.28 / $60.79	Professional		$36.28	$36.28	$60.79
United Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $36.28 / $38.46	Professional		$36.28	$36.28	$38.46
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $34.10 / $42.66 / $3,375.00	Professional		$34.10	$42.66	$3,375.00