Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.87 / $74.87 / $89.84	Facility		$74.87	$74.87	$89.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.46 / $62.67 / $74.87	Professional		$55.46	$62.67	$74.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.99 / $132.99 / $157.65	Facility		$132.99	$132.99	$157.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $68.81 / $74.98	Professional		$68.81	$68.81	$74.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.43 / $73.43 / $73.43	Facility		$73.43	$73.43	$73.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.60 / $53.60 / $78.27	Professional		$53.60	$53.60	$78.27
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $107.68 / $107.68 / $332.35	Professional		$107.68	$107.68	$332.35
United Facility/Professional Professional Modifier Low / Median / High Price $44.23 / $66.34 / $76.79	Professional		$44.23	$66.34	$76.79
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $99.60 / $109.56 / $139.44	Professional		$99.60	$109.56	$139.44