Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.34 / $133.74 / $147.12	Facility		$110.34	$133.74	$147.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.23 / $126.31 / $167.18	Professional		$102.23	$126.31	$167.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.60 / $116.60 / $116.60	Facility		$116.60	$116.60	$116.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.09 / $131.58 / $174.51	Professional		$117.09	$131.58	$174.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.00 / $146.56 / $303.10	Professional		$104.00	$146.56	$303.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $111.92 / $191.02 / $385.44	Professional		$111.92	$191.02	$385.44
Optum Facility/Professional Professional Modifier Low / Median / High Price $34.24 / $109.31 / $133.12	Professional		$34.24	$109.31	$133.12
United Facility/Professional Professional Modifier Low / Median / High Price $109.31 / $184.77 / $383.20	Professional		$109.31	$184.77	$383.20
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $103.76 / $123.66 / $158.81	Professional		$103.76	$123.66	$158.81