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 $64.57 / $75.86 / $125.89	Professional		$64.57	$75.86	$125.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $165.96 / $186.21	Facility		$154.88	$165.96	$186.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $95.50	Professional		$93.33	$93.33	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $100.00	Professional		$72.44	$72.44	$100.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $229.09	Professional		$131.83	$131.83	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $95.50 / $104.71	Facility		$42.66	$95.50	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $81.28 / $131.83	Professional		$58.88	$81.28	$131.83
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $213.80	Facility		$134.90	$134.90	$213.80