Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.48 / $80.48 / $96.58	Facility		$80.48	$80.48	$96.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $96.77	Professional		$87.98	$87.98	$96.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $87.98	Professional		$87.98	$87.98	$87.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.00 / $87.98 / $87.98	Facility		$83.00	$87.98	$87.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $87.98	Professional		$87.98	$87.98	$87.98
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $127.69	Professional		$87.98	$87.98	$127.69
United Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $87.98	Professional		$87.98	$87.98	$87.98
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,750.00 / $3,500.00	Professional		$2,500.00	$2,750.00	$3,500.00