Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $123.03	Facility		$102.33	$102.33	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $158.49	Professional		$77.62	$102.33	$158.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $199.53 / $223.87	Facility		$186.21	$199.53	$223.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $109.65	Professional		$107.15	$107.15	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $131.83	Facility		$112.20	$112.20	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $112.20	Professional		$83.18	$83.18	$112.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $275.42	Professional		$158.49	$158.49	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $114.82 / $131.83	Facility		$53.70	$114.82	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $97.72 / $158.49	Professional		$70.79	$97.72	$158.49
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $257.04	Facility		$162.18	$162.18	$257.04