Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $56.23	Facility		$46.77	$46.77	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $39.81 / $64.57	Professional		$34.67	$39.81	$64.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $91.20 / $104.71	Facility		$85.11	$91.20	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $54.95	Professional		$53.70	$53.70	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $61.66	Facility		$48.98	$48.98	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $48.98	Professional		$35.48	$35.48	$48.98
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $128.82	Professional		$74.13	$74.13	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $51.29 / $58.88	Facility		$19.95	$51.29	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $44.67 / $74.13	Professional		$33.11	$44.67	$74.13
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $120.23	Facility		$74.13	$74.13	$120.23