Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.38 / $131.38 / $157.66	Facility		$131.38	$131.38	$157.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.02 / $131.38 / $415.34	Professional		$96.02	$131.38	$415.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $233.30 / $233.30 / $276.55	Facility		$233.30	$233.30	$276.55
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 $152.55 / $152.55 / $153.72	Facility		$152.55	$152.55	$153.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.36 / $111.36 / $152.55	Professional		$111.36	$111.36	$152.55
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $188.90 / $188.90 / $583.04	Professional		$188.90	$188.90	$583.04
United Facility/Professional Professional Modifier Low / Median / High Price $80.16 / $116.39 / $185.90	Professional		$80.16	$116.39	$185.90
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $174.75 / $205.20 / $308.26	Professional		$174.75	$205.20	$308.26