Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $117.49	Facility		$97.72	$97.72	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $125.89	Professional		$63.10	$83.18	$125.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $190.55 / $218.78	Facility		$177.83	$190.55	$218.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $87.10	Professional		$85.11	$85.11	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $128.82	Facility		$100.00	$100.00	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $100.00	Professional		$74.13	$74.13	$100.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $269.15	Professional		$151.36	$151.36	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $75.86 / $91.20	Facility		$44.67	$75.86	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.10 / $151.36	Professional		$57.54	$87.10	$151.36
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $251.19	Facility		$154.88	$154.88	$251.19