Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $104.71	Facility		$87.10	$87.10	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $123.03	Professional		$57.54	$81.28	$123.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $169.82 / $194.98	Facility		$158.49	$169.82	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $114.82	Facility		$102.33	$102.33	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $102.33	Professional		$75.86	$75.86	$102.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $239.88	Professional		$134.90	$134.90	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $69.18 / $87.10	Facility		$40.74	$69.18	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $77.62 / $134.90	Professional		$51.29	$77.62	$134.90
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $194.98	Facility		$120.23	$120.23	$194.98