Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.58 / $87.58 / $105.10	Facility		$87.58	$87.58	$105.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.01 / $67.95 / $87.58	Professional		$64.01	$67.95	$87.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.55 / $155.55 / $184.39	Facility		$155.55	$155.55	$184.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $86.70 / $86.70	Professional		$75.00	$86.70	$86.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.96 / $88.96 / $88.96	Facility		$88.96	$88.96	$88.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.94 / $64.94 / $88.96	Professional		$64.94	$64.94	$88.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $125.93 / $125.93 / $388.68	Professional		$125.93	$125.93	$388.68
United Facility/Professional Professional Modifier Low / Median / High Price $51.73 / $77.59 / $92.13	Professional		$51.73	$77.59	$92.13
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $116.50 / $128.15 / $163.10	Professional		$116.50	$128.15	$163.10