Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.45 / $72.45 / $86.95	Facility		$72.45	$72.45	$86.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $57.46 / $72.45	Professional		$56.23	$57.46	$72.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.66 / $128.66 / $152.53	Facility		$128.66	$128.66	$152.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.16 / $235.00 / $235.00	Professional		$75.16	$235.00	$235.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.66 / $104.66 / $104.66	Facility		$104.66	$104.66	$104.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.96 / $88.96 / $104.66	Professional		$88.96	$88.96	$104.66
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $104.18 / $104.18 / $321.55	Professional		$104.18	$104.18	$321.55
United Facility/Professional Professional Modifier Low / Median / High Price $42.80 / $64.19 / $88.51	Professional		$42.80	$64.19	$88.51
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $84.83 / $101.80 / $149.63	Professional		$84.83	$101.80	$149.63