Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $61.66	Facility		$51.29	$51.29	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $47.86 / $87.10	Professional		$34.67	$47.86	$87.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $100.00 / $114.82	Facility		$93.33	$100.00	$114.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $53.70	Professional		$52.48	$52.48	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $67.61	Facility		$51.29	$51.29	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $51.29	Professional		$38.02	$38.02	$51.29
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $141.25	Professional		$81.28	$81.28	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $54.95 / $64.57	Facility		$24.55	$54.95	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $48.98 / $81.28	Professional		$36.31	$48.98	$81.28
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $114.82	Facility		$72.44	$72.44	$114.82