Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $58.88	Facility		$48.98	$48.98	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $48.98 / $91.20	Professional		$37.15	$48.98	$91.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $93.33 / $107.15	Facility		$89.13	$93.33	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $53.70	Professional		$52.48	$52.48	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $63.10	Facility		$53.70	$53.70	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $53.70	Professional		$39.81	$39.81	$53.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $131.83	Professional		$75.86	$75.86	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $44.67 / $87.10	Facility		$26.30	$44.67	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $42.66 / $75.86	Professional		$32.36	$42.66	$75.86
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $123.03	Facility		$77.62	$77.62	$123.03