Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $102.00	Facility		$85.00	$85.00	$102.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $85.00 / $85.00	Professional		$81.00	$85.00	$85.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $123.37	Professional		$85.00	$85.00	$123.37
United Facility/Professional Professional Modifier Low / Median / High Price $136.78 / $160.91 / $160.91	Professional		$136.78	$160.91	$160.91
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $93.50 / $119.00	Professional		$85.00	$93.50	$119.00