Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.42 / $73.42 / $88.10	Facility		$73.42	$73.42	$88.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $73.42 / $73.42	Professional		$73.42	$73.42	$73.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.70 / $129.56 / $252.31	Facility		$78.70	$129.56	$252.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $73.42 / $73.42	Professional		$71.98	$73.42	$73.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.42 / $73.42 / $73.42	Facility		$73.42	$73.42	$73.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $73.42 / $73.42	Professional		$73.42	$73.42	$73.42
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $58.36 / $90.33 / $171.67	Professional		$58.36	$90.33	$171.67
United Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $71.98 / $80.65	Professional		$71.98	$71.98	$80.65
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $63.09 / $69.40 / $88.33	Professional		$63.09	$69.40	$88.33