Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.05 / $100.00 / $132.22	Professional		$86.05	$100.00	$132.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.22 / $145.19 / $238.12	Professional		$69.22	$145.19	$238.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.55 / $158.05 / $296.94	Professional		$102.55	$158.05	$296.94
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $150.97 / $352.38	Professional		$82.58	$150.97	$352.38
United Facility/Professional Facility Modifier Low / Median / High Price $775.00 / $775.00 / $3,360.00	Facility		$775.00	$775.00	$3,360.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.04 / $180.29 / $677.29	Professional		$114.04	$180.29	$677.29
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $56.30 / $78.81 / $105.13	Professional		$56.30	$78.81	$105.13