Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.91 / $191.92 / $191.92	Professional		$191.91	$191.92	$191.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.75 / $345.46 / $870.63	Facility		$228.75	$345.46	$870.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.53 / $171.72 / $191.92	Professional		$144.53	$171.72	$191.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.55 / $188.55 / $188.55	Facility		$188.55	$188.55	$188.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.55 / $188.55 / $188.55	Professional		$188.55	$188.55	$188.55
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $201.36 / $311.68 / $592.36	Professional		$201.36	$311.68	$592.36
United Facility/Professional Professional Modifier Low / Median / High Price $168.35 / $168.35 / $202.02	Professional		$168.35	$168.35	$202.02