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 $97.72 / $114.82 / $204.17	Professional		$97.72	$114.82	$204.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $251.19 / $288.40	Facility		$239.88	$251.19	$288.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $169.82	Facility		$134.90	$134.90	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $134.90	Professional		$100.00	$100.00	$134.90
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $354.81	Professional		$204.17	$204.17	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $107.15 / $144.54	Facility		$66.07	$107.15	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $204.17	Professional		$81.28	$117.49	$204.17
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $288.40	Facility		$181.97	$181.97	$288.40