Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.67 / $100.67 / $112.75	Facility		$100.67	$100.67	$112.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.67 / $104.67 / $104.67	Professional		$104.67	$104.67	$104.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.83 / $154.11 / $422.86	Facility		$122.83	$154.11	$422.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.80 / $100.80 / $104.66	Professional		$100.80	$100.80	$104.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.07 / $115.07 / $115.07	Facility		$115.07	$115.07	$115.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.07 / $115.07 / $115.07	Professional		$115.07	$115.07	$115.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $142.06 / $174.28 / $323.06	Professional		$142.06	$174.28	$323.06
United Facility/Professional Professional Modifier Low / Median / High Price $102.74 / $102.74 / $123.14	Professional		$102.74	$102.74	$123.14
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $92.18 / $107.67 / $162.61	Professional		$92.18	$107.67	$162.61