Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.85 / $50.22 / $51.50	Facility		$41.85	$50.22	$51.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.85 / $42.16 / $46.87	Professional		$41.85	$42.16	$46.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.72 / $65.77 / $173.52	Facility		$49.72	$65.77	$173.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $42.16 / $42.16	Professional		$42.16	$42.16	$42.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.77 / $42.16 / $42.16	Facility		$39.77	$42.16	$42.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $42.16 / $42.16	Professional		$42.16	$42.16	$42.16
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $42.16 / $70.65	Professional		$42.16	$42.16	$70.65
United Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $42.16 / $44.69	Professional		$42.16	$42.16	$44.69
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $32.09 / $39.38 / $51.46	Professional		$32.09	$39.38	$51.46