Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.91 / $94.91 / $113.89	Facility		$94.91	$94.91	$113.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $73.66 / $102.32	Professional		$69.37	$73.66	$102.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.56 / $168.56 / $199.81	Facility		$168.56	$168.56	$199.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.09 / $92.09 / $98.46	Professional		$92.09	$92.09	$98.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.46 / $116.46 / $116.46	Facility		$116.46	$116.46	$116.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.02 / $85.02 / $123.90	Professional		$85.02	$85.02	$123.90
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $136.47 / $421.25	Professional		$136.47	$136.47	$421.25
United Facility/Professional Professional Modifier Low / Median / High Price $56.06 / $84.10 / $99.86	Professional		$56.06	$84.10	$99.86
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $126.25 / $138.88 / $176.75	Professional		$126.25	$138.88	$176.75