Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.04 / $78.04 / $93.65	Facility		$78.04	$78.04	$93.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.56 / $66.27 / $84.13	Professional		$60.56	$66.27	$84.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.60 / $138.60 / $164.30	Facility		$138.60	$138.60	$164.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.28 / $84.28 / $88.44	Professional		$84.28	$84.28	$88.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.65 / $89.65 / $89.65	Facility		$89.65	$89.65	$89.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $65.44 / $95.57	Professional		$65.44	$65.44	$95.57
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $112.22 / $112.22 / $346.37	Professional		$112.22	$112.22	$346.37
United Facility/Professional Professional Modifier Low / Median / High Price $46.10 / $69.14 / $82.10	Professional		$46.10	$69.14	$82.10
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $103.80 / $114.18 / $145.32	Professional		$103.80	$114.18	$145.32