Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.38 / $84.38 / $101.26	Facility		$84.38	$84.38	$101.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.39 / $75.00 / $84.38	Professional		$65.39	$75.00	$84.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.86 / $149.86 / $177.64	Facility		$149.86	$149.86	$177.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.03 / $84.03 / $88.04	Professional		$84.03	$84.03	$88.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.21 / $86.21 / $86.21	Facility		$86.21	$86.21	$86.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.93 / $62.93 / $91.91	Professional		$62.93	$62.93	$91.91
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $121.33 / $121.33 / $374.48	Professional		$121.33	$121.33	$374.48
United Facility/Professional Professional Modifier Low / Median / High Price $51.79 / $74.76 / $88.77	Professional		$51.79	$74.76	$88.77
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $112.24 / $123.46 / $157.13	Professional		$112.24	$123.46	$157.13