Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.07 / $106.16 / $1,205.16	Facility		$53.07	$106.16	$1,205.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.07 / $53.08 / $53.08	Professional		$53.07	$53.08	$53.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.46 / $79.62 / $218.47	Facility		$63.46	$79.62	$218.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $53.08	Professional		$53.08	$53.08	$53.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.90 / $45.90 / $45.90	Facility		$45.90	$45.90	$45.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $45.90 / $45.90	Professional		$45.90	$45.90	$45.90
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $76.42 / $151.19	Professional		$52.45	$76.42	$151.19
United Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $53.08	Professional		$53.08	$53.08	$53.08
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $53.61 / $80.97	Professional		$45.90	$53.61	$80.97