Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $134.90	Facility		$112.20	$112.20	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $112.20 / $177.83	Professional		$87.10	$112.20	$177.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $218.78 / $251.19	Facility		$204.17	$218.78	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $173.78 / $173.78	Facility		$147.91	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $173.78	Professional		$125.89	$125.89	$173.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $302.00	Professional		$173.78	$173.78	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $131.83 / $151.36	Facility		$61.66	$131.83	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $173.78	Professional		$77.62	$107.15	$173.78
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $288.40	Facility		$177.83	$177.83	$288.40