Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $147.91	Facility		$123.03	$123.03	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $177.83	Professional		$87.10	$117.49	$177.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $239.88 / $269.15	Facility		$223.87	$239.88	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $112.20	Professional		$109.65	$109.65	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $158.49	Facility		$112.20	$112.20	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $112.20	Professional		$81.28	$81.28	$112.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $331.13	Professional		$190.55	$190.55	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $93.33 / $120.23	Facility		$54.95	$93.33	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $190.55	Professional		$72.44	$109.65	$190.55
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $309.03	Facility		$194.98	$194.98	$309.03