Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.37 / $96.58 / $126.14	Professional		$81.37	$96.58	$126.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.19 / $165.19 / $165.19	Facility		$165.19	$165.19	$165.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.27 / $130.27 / $130.27	Professional		$130.27	$130.27	$130.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $110.00 / $112.20	Facility		$110.00	$110.00	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $93.50 / $165.23	Professional		$13.15	$93.50	$165.23
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $129.06 / $362.28 / $459.18	Professional		$129.06	$362.28	$459.18
United Facility/Professional Professional Modifier Low / Median / High Price $51.14 / $76.72 / $165.23	Professional		$51.14	$76.72	$165.23
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $164.00 / $181.71 / $231.27	Professional		$164.00	$181.71	$231.27