Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.73 / $85.73 / $102.88	Facility		$85.73	$85.73	$102.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $76.20 / $102.55	Professional		$65.00	$76.20	$102.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.26 / $152.26 / $180.49	Facility		$152.26	$152.26	$180.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.15 / $88.15 / $92.89	Professional		$88.15	$88.15	$92.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.54 / $97.54 / $97.54	Facility		$97.54	$97.54	$97.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $71.20 / $103.98	Professional		$71.20	$71.20	$103.98
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $123.28 / $123.28 / $380.50	Professional		$123.28	$123.28	$380.50
United Facility/Professional Professional Modifier Low / Median / High Price $50.64 / $75.95 / $111.13	Professional		$50.64	$75.95	$111.13
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $114.04 / $125.44 / $159.66	Professional		$114.04	$125.44	$159.66