Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $69.18	Facility		$57.54	$57.54	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $57.54 / $97.72	Professional		$48.98	$57.54	$97.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $112.20 / $128.82	Facility		$104.71	$112.20	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $75.86	Professional		$54.95	$54.95	$75.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $158.49	Professional		$91.20	$91.20	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $53.70 / $69.18	Facility		$31.62	$53.70	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.29 / $91.20	Professional		$38.90	$51.29	$91.20
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $147.91	Facility		$93.33	$93.33	$147.91