Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.55 / $41.55 / $49.86	Facility		$41.55	$41.55	$49.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $47.18	Professional		$39.31	$39.31	$47.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $39.31	Professional		$39.31	$39.31	$39.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.09 / $39.31 / $39.31	Facility		$37.09	$39.31	$39.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $39.31	Professional		$39.31	$39.31	$39.31
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $57.05	Professional		$39.31	$39.31	$57.05
United Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $94.34	Professional		$39.31	$39.31	$94.34
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $205.91 / $226.50 / $288.27	Professional		$205.91	$226.50	$288.27