Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.45 / $87.45 / $104.94	Facility		$87.45	$87.45	$104.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.70 / $87.45 / $964.88	Professional		$68.70	$87.45	$964.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,608.14 / $1,608.14 / $1,906.29	Facility		$1,608.14	$1,608.14	$1,906.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.47 / $83.47 / $83.47	Professional		$83.47	$83.47	$83.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $120.00 / $120.00	Facility		$120.00	$120.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $102.00 / $125.77	Professional		$102.00	$102.00	$125.77
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $123.63 / $123.63 / $381.58	Professional		$123.63	$123.63	$381.58
United Facility/Professional Professional Modifier Low / Median / High Price $50.42 / $75.63 / $124.93	Professional		$50.42	$75.63	$124.93
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $99.94 / $109.93 / $139.91	Professional		$99.94	$109.93	$139.91