Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.72 / $47.72 / $102.52	Professional		$47.72	$47.72	$102.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.19 / $107.19 / $107.19	Professional		$107.19	$107.19	$107.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.76 / $197.21 / $295.87	Professional		$126.76	$197.21	$295.87
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $112.14 / $180.01 / $376.91	Professional		$112.14	$180.01	$376.91
United Facility/Professional Facility Modifier Low / Median / High Price $3,360.00 / $3,360.00 / $7,448.00	Facility		$3,360.00	$3,360.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.06 / $137.40 / $268.57	Professional		$77.06	$137.40	$268.57
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,750.00 / $3,500.00	Professional		$2,500.00	$2,750.00	$3,500.00