Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.31 / $100.03 / $109.90	Facility		$89.31	$100.03	$109.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $89.31 / $89.31	Professional		$72.50	$89.31	$89.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.68 / $131.34 / $175.12	Facility		$104.68	$131.34	$175.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.56 / $89.30 / $89.30	Professional		$87.56	$89.30	$89.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.31 / $89.31 / $89.31	Facility		$89.31	$89.31	$89.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.31 / $89.31 / $89.31	Professional		$89.31	$89.31	$89.31
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $89.31 / $89.31 / $149.66	Professional		$89.31	$89.31	$149.66
United Facility/Professional Professional Modifier Low / Median / High Price $77.45 / $87.56 / $92.81	Professional		$77.45	$87.56	$92.81
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $82.51 / $90.76 / $115.51	Professional		$82.51	$90.76	$115.51