Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $169.82	Facility		$141.25	$141.25	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $363.08	Professional		$114.82	$151.36	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $288.40 / $331.13	Facility		$269.15	$288.40	$331.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $177.83	Professional		$128.82	$128.82	$177.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $407.38	Professional		$234.42	$234.42	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $138.04 / $204.17	Facility		$89.13	$138.04	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.83 / $234.42	Professional		$89.13	$131.83	$234.42
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $380.19	Facility		$239.88	$239.88	$380.19