Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.39 / $115.39 / $138.47	Facility		$115.39	$115.39	$138.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.35 / $89.54 / $124.40	Professional		$84.35	$89.54	$124.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.94 / $204.94 / $242.94	Facility		$204.94	$204.94	$242.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $114.05 / $114.05	Professional		$75.00	$114.05	$114.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.54 / $140.54 / $140.54	Facility		$140.54	$140.54	$140.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.59 / $102.59 / $140.54	Professional		$102.59	$102.59	$140.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $165.94 / $165.94 / $512.16	Professional		$165.94	$165.94	$512.16
United Facility/Professional Professional Modifier Low / Median / High Price $68.16 / $102.25 / $122.55	Professional		$68.16	$102.25	$122.55
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $153.49 / $180.20 / $270.76	Professional		$153.49	$180.20	$270.76