Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.08 / $63.08 / $75.70	Facility		$63.08	$63.08	$75.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.95 / $55.81 / $68.00	Professional		$48.95	$55.81	$68.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.03 / $112.03 / $132.80	Facility		$112.03	$112.03	$132.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.34 / $64.34 / $68.76	Professional		$64.34	$64.34	$68.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.80 / $75.80 / $75.80	Facility		$75.80	$75.80	$75.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.33 / $55.33 / $80.80	Professional		$55.33	$55.33	$80.80
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $90.70 / $90.70 / $279.95	Professional		$90.70	$90.70	$279.95
United Facility/Professional Facility Modifier Low / Median / High Price $71.80 / $71.80 / $71.80	Facility		$71.80	$71.80	$71.80
United Facility/Professional Professional Modifier Low / Median / High Price $37.26 / $55.89 / $80.17	Professional		$37.26	$55.89	$80.17
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $83.90 / $92.29 / $117.46	Professional		$83.90	$92.29	$117.46