Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.50 / $128.50 / $154.19	Facility		$128.50	$128.50	$154.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.71 / $108.51 / $128.50	Professional		$99.71	$108.51	$128.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.20 / $228.20 / $270.51	Facility		$228.20	$228.20	$270.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.63 / $117.63 / $122.88	Professional		$117.63	$117.63	$122.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.98 / $126.98 / $126.98	Facility		$126.98	$126.98	$126.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $92.70 / $126.98	Professional		$92.70	$92.70	$126.98
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $184.76 / $184.76 / $570.26	Professional		$184.76	$184.76	$570.26
United Facility/Professional Facility Modifier Low / Median / High Price $120.51 / $120.51 / $120.51	Facility		$120.51	$120.51	$120.51
United Facility/Professional Professional Modifier Low / Median / High Price $75.90 / $113.84 / $147.00	Professional		$75.90	$113.84	$147.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $170.91 / $188.00 / $239.27	Professional		$170.91	$188.00	$239.27