Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.69 / $78.69 / $94.43	Facility		$78.69	$78.69	$94.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.20 / $61.06 / $93.30	Professional		$49.20	$61.06	$93.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.76 / $139.76 / $165.67	Facility		$139.76	$139.76	$165.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.69 / $66.69 / $70.38	Professional		$66.69	$66.69	$70.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $68.84 / $68.84	Facility		$68.84	$68.84	$68.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.25 / $50.25 / $68.84	Professional		$50.25	$50.25	$68.84
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $113.15 / $113.15 / $349.24	Professional		$113.15	$113.15	$349.24
United Facility/Professional Professional Modifier Low / Median / High Price $46.48 / $69.72 / $84.70	Professional		$46.48	$69.72	$84.70
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $104.67 / $115.14 / $146.54	Professional		$104.67	$115.14	$146.54