Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.13 / $175.68 / $176.23	Professional		$137.13	$175.68	$176.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $290.66 / $290.66 / $290.66	Facility		$290.66	$290.66	$290.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.24 / $247.24 / $267.02	Professional		$247.24	$247.24	$267.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.05 / $204.05 / $273.18	Facility		$204.05	$204.05	$273.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.44 / $204.05 / $244.85	Professional		$173.44	$204.05	$244.85
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $232.28 / $652.03 / $826.43	Professional		$232.28	$652.03	$826.43
United Facility/Professional Facility Modifier Low / Median / High Price $11.12 / $103.75 / $219.99	Facility		$11.12	$103.75	$219.99
United Facility/Professional Professional Modifier Low / Median / High Price $105.90 / $158.15 / $278.47	Professional		$105.90	$158.15	$278.47
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $281.36 / $311.74 / $396.76	Professional		$281.36	$311.74	$396.76