Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.48 / $77.48 / $92.99	Facility		$77.48	$77.48	$92.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $78.27	Professional		$69.37	$69.37	$78.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.80 / $108.22 / $285.51	Facility		$81.80	$108.22	$285.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $69.37	Professional		$69.37	$69.37	$69.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.71 / $69.37 / $69.37	Facility		$63.71	$69.37	$69.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $69.37	Professional		$69.37	$69.37	$69.37
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $116.24	Professional		$69.37	$69.37	$116.24
United Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $73.53	Professional		$69.37	$69.37	$73.53
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $95.37 / $104.91 / $133.52	Professional		$95.37	$104.91	$133.52