Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $102.33	Facility		$85.11	$85.11	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $72.44 / $117.49	Professional		$52.48	$72.44	$117.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $165.96 / $190.55	Facility		$154.88	$165.96	$190.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $112.20	Facility		$85.11	$85.11	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $85.11	Professional		$61.66	$61.66	$85.11
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $234.42	Professional		$131.83	$131.83	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $56.23 / $74.13	Facility		$34.67	$56.23	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $75.86 / $131.83	Professional		$50.12	$75.86	$131.83
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $218.78	Facility		$134.90	$134.90	$218.78