Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.61 / $99.61 / $119.53	Facility		$99.61	$99.61	$119.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $77.29 / $101.76	Professional		$54.60	$77.29	$101.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.90 / $176.90 / $209.70	Facility		$176.90	$176.90	$209.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.14 / $79.14 / $84.67	Professional		$79.14	$79.14	$84.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.22 / $106.22 / $106.22	Facility		$106.22	$106.22	$106.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $77.54 / $113.24	Professional		$77.54	$77.54	$113.24
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $143.22 / $143.22 / $442.08	Professional		$143.22	$143.22	$442.08
United Facility/Professional Facility Modifier Low / Median / High Price $40.79 / $68.88 / $68.88	Facility		$40.79	$68.88	$68.88
United Facility/Professional Professional Modifier Low / Median / High Price $58.84 / $88.25 / $101.95	Professional		$58.84	$88.25	$101.95
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $132.49 / $145.74 / $185.49	Professional		$132.49	$145.74	$185.49