Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $100.00	Facility		$83.18	$83.18	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $72.44 / $112.20	Professional		$53.70	$72.44	$112.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $162.18 / $186.21	Facility		$151.36	$162.18	$186.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $83.18	Professional		$81.28	$81.28	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $109.65	Facility		$89.13	$89.13	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $89.13	Professional		$64.57	$64.57	$89.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $229.09	Professional		$128.82	$128.82	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $81.28 / $91.20	Facility		$37.15	$81.28	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $79.43 / $128.82	Professional		$57.54	$79.43	$128.82
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $213.80	Facility		$131.83	$131.83	$213.80