Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $92.17 / $92.17	Professional		$92.00	$92.17	$92.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.88 / $145.88 / $145.88	Facility		$145.88	$145.88	$145.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.59 / $136.59 / $136.59	Professional		$136.59	$136.59	$136.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.17 / $64.17 / $64.17	Facility		$64.17	$64.17	$64.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $64.17 / $145.36	Professional		$13.43	$64.17	$145.36
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $120.04 / $336.96 / $427.09	Professional		$120.04	$336.96	$427.09
United Facility/Professional Professional Modifier Low / Median / High Price $50.24 / $75.36 / $145.36	Professional		$50.24	$75.36	$145.36
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $144.84 / $160.47 / $204.25	Professional		$144.84	$160.47	$204.25