Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.27 / $99.27 / $119.12	Facility		$99.27	$99.27	$119.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.03 / $85.31 / $99.27	Professional		$77.03	$85.31	$99.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.29 / $176.29 / $208.97	Facility		$176.29	$176.29	$208.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.22 / $107.22 / $112.51	Professional		$107.22	$107.22	$112.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.16 / $110.16 / $110.16	Facility		$110.16	$110.16	$110.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $80.42 / $113.46	Professional		$80.42	$80.42	$113.46
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $142.74 / $142.74 / $440.57	Professional		$142.74	$142.74	$440.57
United Facility/Professional Professional Modifier Low / Median / High Price $58.64 / $87.95 / $104.43	Professional		$58.64	$87.95	$104.43
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $132.04 / $145.24 / $184.86	Professional		$132.04	$145.24	$184.86