Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.28 / $97.59 / $97.59	Professional		$73.28	$97.59	$97.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.17 / $174.17 / $174.17	Facility		$174.17	$174.17	$174.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.44 / $139.44 / $150.61	Professional		$139.44	$139.44	$150.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.47 / $114.47 / $150.25	Facility		$114.47	$114.47	$150.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $114.47 / $150.25	Professional		$97.30	$114.47	$150.25
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $139.18 / $390.69 / $495.19	Professional		$139.18	$390.69	$495.19
United Facility/Professional Professional Modifier Low / Median / High Price $61.20 / $91.80 / $158.10	Professional		$61.20	$91.80	$158.10
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $156.43 / $173.33 / $220.60	Professional		$156.43	$173.33	$220.60