Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $138.04	Facility		$114.82	$114.82	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $194.98	Professional		$89.13	$114.82	$194.98
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 $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $169.82 / $169.82	Facility		$147.91	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $169.82	Professional		$125.89	$125.89	$169.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $309.03	Professional		$177.83	$177.83	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $134.90 / $151.36	Facility		$61.66	$134.90	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $177.83	Professional		$79.43	$107.15	$177.83
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $288.40	Facility		$181.97	$181.97	$288.40