Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.53 / $101.44 / $104.01	Facility		$84.53	$101.44	$104.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $102.44	Professional		$84.57	$84.57	$102.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.10 / $152.22 / $369.63	Facility		$101.10	$152.22	$369.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $84.57	Professional		$84.57	$84.57	$84.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.78 / $84.57 / $84.57	Facility		$79.78	$84.57	$84.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $84.57	Professional		$84.57	$84.57	$84.57
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $141.71	Professional		$84.57	$84.57	$141.71
United Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $89.64	Professional		$84.57	$84.57	$89.64
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,750.00 / $2,920.00 / $3,000.00	Professional		$2,750.00	$2,920.00	$3,000.00