Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.54 / $140.54 / $168.65	Facility		$140.54	$140.54	$168.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.05 / $133.12 / $151.50	Professional		$109.05	$133.12	$151.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $249.59 / $249.59 / $295.86	Facility		$249.59	$249.59	$295.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.94 / $150.94 / $159.28	Professional		$150.94	$150.94	$159.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.61 / $185.61 / $185.61	Facility		$185.61	$185.61	$185.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.50 / $135.50 / $185.61	Professional		$135.50	$135.50	$185.61
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $202.08 / $202.08 / $623.72	Professional		$202.08	$202.08	$623.72
United Facility/Professional Facility Modifier Low / Median / High Price $195.26 / $195.26 / $195.26	Facility		$195.26	$195.26	$195.26
United Facility/Professional Professional Modifier Low / Median / High Price $83.01 / $124.52 / $147.85	Professional		$83.01	$124.52	$147.85
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $186.93 / $205.62 / $261.70	Professional		$186.93	$205.62	$261.70