Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.98 / $99.98 / $119.98	Facility		$99.98	$99.98	$119.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.69 / $77.58 / $104.25	Professional		$72.69	$77.58	$104.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.58 / $177.58 / $210.50	Facility		$177.58	$177.58	$210.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.06 / $94.06 / $96.32	Professional		$94.06	$94.06	$96.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $117.36 / $126.78	Facility		$117.36	$117.36	$126.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $85.67 / $120.88	Professional		$85.67	$85.67	$120.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $143.78 / $143.78 / $443.78	Professional		$143.78	$143.78	$443.78
United Facility/Professional Professional Modifier Low / Median / High Price $59.06 / $87.80 / $105.19	Professional		$59.06	$87.80	$105.19
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $132.99 / $146.29 / $186.19	Professional		$132.99	$146.29	$186.19