Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $204.17	Facility		$169.82	$169.82	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $151.36 / $239.88	Professional		$131.83	$151.36	$239.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $323.59 / $371.54	Facility		$309.03	$323.59	$371.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $218.78	Facility		$165.96	$165.96	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $165.96	Professional		$120.23	$120.23	$165.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $457.09	Professional		$263.03	$263.03	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $138.04 / $223.87	Facility		$81.28	$138.04	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $263.03	Professional		$100.00	$151.36	$263.03
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $426.58	Facility		$269.15	$269.15	$426.58