Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.24 / $107.24 / $128.69	Facility		$107.24	$107.24	$128.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.38 / $83.22 / $115.60	Professional		$78.38	$83.22	$115.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.45 / $190.45 / $225.76	Facility		$190.45	$190.45	$225.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.27 / $105.27 / $111.27	Professional		$105.27	$105.27	$111.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.22 / $112.22 / $112.22	Facility		$112.22	$112.22	$112.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $81.92 / $112.22	Professional		$81.92	$81.92	$112.22
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $154.19 / $154.19 / $475.94	Professional		$154.19	$154.19	$475.94
United Facility/Professional Professional Modifier Low / Median / High Price $63.34 / $95.02 / $146.35	Professional		$63.34	$95.02	$146.35
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $124.44 / $149.33 / $219.51	Professional		$124.44	$149.33	$219.51