Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.54 / $80.54 / $96.65	Facility		$80.54	$80.54	$96.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $71.75 / $86.82	Professional		$62.50	$71.75	$86.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.03 / $143.03 / $169.55	Facility		$143.03	$143.03	$169.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.77 / $85.77 / $91.27	Professional		$85.77	$85.77	$91.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.38 / $115.38 / $141.93	Facility		$115.38	$115.38	$141.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $84.23 / $122.99	Professional		$84.23	$84.23	$122.99
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $115.80 / $115.80 / $357.42	Professional		$115.80	$115.80	$357.42
United Facility/Professional Professional Modifier Low / Median / High Price $53.75 / $76.45 / $115.80	Professional		$53.75	$76.45	$115.80
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $93.45 / $112.14 / $168.68	Professional		$93.45	$112.14	$168.68