Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $53.00 / $63.60	Facility		$53.00	$53.00	$63.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $63.60	Professional		$53.00	$53.00	$63.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $53.00	Professional		$53.00	$53.00	$53.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $53.00 / $53.00	Facility		$50.00	$53.00	$53.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $53.00	Professional		$53.00	$53.00	$53.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $76.92	Professional		$53.00	$53.00	$76.92
United Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $127.20	Professional		$53.00	$53.00	$127.20
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