Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.95 / $53.95 / $64.73	Facility		$53.95	$53.95	$64.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.95 / $53.95 / $53.95	Professional		$53.95	$53.95	$53.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.23 / $79.34 / $217.68	Facility		$63.23	$79.34	$217.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.95 / $53.95 / $53.95	Facility		$53.95	$53.95	$53.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.95 / $53.95 / $53.95	Professional		$53.95	$53.95	$53.95
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $73.22 / $89.83 / $177.72	Professional		$73.22	$89.83	$177.72
United Facility/Professional Professional Modifier Low / Median / High Price $52.89 / $52.89 / $76.98	Professional		$52.89	$52.89	$76.98
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $53.95 / $59.35 / $75.53	Professional		$53.95	$59.35	$75.53