Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $99.82	Facility		$83.18	$83.18	$99.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $90.95	Professional		$75.79	$75.79	$90.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $75.79	Professional		$75.79	$75.79	$75.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.50 / $75.79 / $75.79	Facility		$71.50	$75.79	$75.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $75.79	Professional		$75.79	$75.79	$75.79
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $110.00	Professional		$75.79	$75.79	$110.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $181.90	Professional		$75.79	$75.79	$181.90
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $596.70 / $969.00 / $1,162.80	Professional		$596.70	$969.00	$1,162.80