Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.45 / $109.45 / $131.34	Facility		$109.45	$109.45	$131.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.59 / $86.80 / $109.45	Professional		$84.59	$86.80	$109.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.38 / $194.38 / $230.42	Facility		$194.38	$194.38	$230.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.55 / $121.56 / $121.56	Professional		$117.55	$121.56	$121.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.62 / $120.62 / $120.62	Facility		$120.62	$120.62	$120.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $88.05 / $128.59	Professional		$88.05	$88.05	$128.59
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $157.38 / $157.38 / $485.75	Professional		$157.38	$157.38	$485.75
United Facility/Professional Professional Modifier Low / Median / High Price $64.65 / $96.97 / $139.12	Professional		$64.65	$96.97	$139.12
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $139.69 / $177.80	Professional		$127.00	$139.69	$177.80