Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $87.10	Facility		$72.44	$72.44	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $61.66 / $107.15	Professional		$42.66	$61.66	$107.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $141.25 / $158.49	Facility		$131.83	$141.25	$158.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $95.50	Facility		$60.26	$60.26	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $60.26	Professional		$43.65	$43.65	$60.26
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $194.98	Professional		$112.20	$112.20	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $66.07 / $72.44	Facility		$29.51	$66.07	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $112.20	Professional		$47.86	$69.18	$112.20
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $181.97	Facility		$114.82	$114.82	$181.97