Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.28 / $47.54 / $8,021.48	Facility		$43.28	$47.54	$8,021.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.28 / $47.55 / $52.45	Professional		$43.28	$47.55	$52.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.07 / $74.18 / $195.71	Facility		$56.07	$74.18	$195.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $47.55 / $47.55	Professional		$47.55	$47.55	$47.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.89 / $47.55 / $47.55	Facility		$41.89	$47.55	$47.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $47.55 / $47.55	Professional		$47.55	$47.55	$47.55
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $47.55 / $79.68	Professional		$47.55	$47.55	$79.68
United Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $47.55 / $51.92	Professional		$47.55	$47.55	$51.92
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $101.74 / $127.27 / $3,375.00	Professional		$101.74	$127.27	$3,375.00