Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.41 / $82.41 / $98.89	Facility		$82.41	$82.41	$98.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $98.89	Professional		$89.75	$89.75	$98.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $89.75	Professional		$89.75	$89.75	$89.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.67 / $89.75 / $89.75	Facility		$84.67	$89.75	$89.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $89.75	Professional		$89.75	$89.75	$89.75
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $130.26	Professional		$89.75	$89.75	$130.26
United Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $215.40	Professional		$89.75	$89.75	$215.40
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $233.92 / $273.22 / $3,500.00	Professional		$233.92	$273.22	$3,500.00