Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $104.71	Facility		$87.10	$87.10	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $75.86 / $147.91	Professional		$67.61	$75.86	$147.91
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 $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 / $112.20	Facility		$100.00	$100.00	$112.20
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 $134.90 / $134.90 / $234.42	Professional		$134.90	$134.90	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $102.33 / $114.82	Facility		$46.77	$102.33	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $81.28 / $134.90	Professional		$60.26	$81.28	$134.90
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $218.78	Facility		$138.04	$138.04	$218.78