Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $48.98	Facility		$40.74	$40.74	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $40.74 / $64.57	Professional		$30.20	$40.74	$64.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $77.62 / $89.13	Facility		$72.44	$77.62	$89.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $52.48	Professional		$38.90	$38.90	$52.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $109.65	Professional		$63.10	$63.10	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $37.15 / $43.65	Facility		$21.88	$37.15	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $35.48 / $63.10	Professional		$26.92	$35.48	$63.10
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $102.33	Facility		$64.57	$64.57	$102.33