Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.97 / $75.56 / $77.48	Facility		$62.97	$75.56	$77.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $70.53	Professional		$61.44	$61.44	$70.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.45 / $95.85 / $252.87	Facility		$72.45	$95.85	$252.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $62.97	Professional		$61.44	$61.44	$62.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.96 / $61.44 / $61.44	Facility		$57.96	$61.44	$61.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $61.44	Professional		$61.44	$61.44	$61.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $102.96	Professional		$61.44	$61.44	$102.96
United Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $67.08	Professional		$61.44	$61.44	$67.08
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $87.43 / $109.36 / $3,375.00	Professional		$87.43	$109.36	$3,375.00