Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $107.00 / $128.40	Facility		$107.00	$107.00	$128.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.02 / $84.86 / $127.98	Professional		$83.02	$84.86	$127.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.02 / $190.02 / $225.25	Facility		$190.02	$190.02	$225.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $153.41 / $153.41	Professional		$111.00	$153.41	$153.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $67.73 / $67.73	Facility		$67.73	$67.73	$67.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $57.58 / $67.73	Professional		$57.58	$57.58	$67.73
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $153.85 / $153.85 / $474.86	Professional		$153.85	$153.85	$474.86
United Facility/Professional Professional Modifier Low / Median / High Price $63.20 / $94.80 / $130.72	Professional		$63.20	$94.80	$130.72
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $172.37 / $3,375.00	Professional		$137.80	$172.37	$3,375.00