Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.75 / $64.75 / $77.70	Facility		$64.75	$64.75	$77.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $106.97 / $117.66	Professional		$77.70	$106.97	$117.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $106.97	Professional		$106.97	$106.97	$106.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.91 / $106.97 / $106.97	Facility		$100.91	$106.97	$106.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $106.97	Professional		$106.97	$106.97	$106.97
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $155.26	Professional		$106.97	$106.97	$155.26
United Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $106.97	Professional		$106.97	$106.97	$106.97
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $95.24 / $104.76 / $133.34	Professional		$95.24	$104.76	$133.34