Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $89.13 / $363.08	Professional		$19.05	$89.13	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $95.50 / $199.53	Facility		$85.11	$95.50	$199.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $57.54	Professional		$33.11	$33.11	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $177.83 / $218.78	Facility		$93.33	$177.83	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $131.83	Professional		$104.71	$104.71	$131.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $27.54 / $54.95	Professional		$15.85	$27.54	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $47.86 / $173.78	Professional		$14.79	$47.86	$173.78