Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $80.04 / $96.05	Facility		$80.04	$80.04	$96.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $96.05	Professional		$80.04	$80.04	$96.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $80.04	Professional		$80.04	$80.04	$80.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.51 / $80.04 / $80.04	Facility		$75.51	$80.04	$80.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $80.04	Professional		$80.04	$80.04	$80.04
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $116.17	Professional		$80.04	$80.04	$116.17
United Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $192.10	Professional		$80.04	$80.04	$192.10
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $500.65 / $550.72 / $700.91	Professional		$500.65	$550.72	$700.91