Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $158.49	Facility		$131.83	$131.83	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $158.49	Professional		$79.43	$114.82	$158.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $257.04 / $295.12	Facility		$239.88	$257.04	$295.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $109.65	Professional		$107.15	$107.15	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $173.78	Facility		$123.03	$123.03	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $123.03	Professional		$89.13	$89.13	$123.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $363.08	Professional		$204.17	$204.17	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $87.10 / $102.33	Facility		$53.70	$87.10	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $117.49 / $204.17	Professional		$77.62	$117.49	$204.17
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $295.12	Facility		$181.97	$181.97	$295.12