Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $66.07 / $109.65	Facility		$54.95	$66.07	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $60.26	Professional		$54.95	$54.95	$60.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $83.18 / $117.49	Facility		$66.07	$83.18	$117.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $54.95 / $54.95	Facility		$50.12	$54.95	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $60.26	Professional		$56.23	$56.23	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $87.10	Professional		$54.95	$54.95	$87.10
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $102.33 / $125.89	Facility		$74.13	$102.33	$125.89