Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $131.83	Facility		$109.65	$109.65	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $131.83	Professional		$63.10	$83.18	$131.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $208.93 / $239.88	Facility		$194.98	$208.93	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $91.20	Professional		$87.10	$87.10	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $128.82 / $128.82	Facility		$125.89	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $128.82	Professional		$109.65	$109.65	$128.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $295.12	Professional		$169.82	$169.82	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $100.00 / $109.65	Facility		$44.67	$100.00	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $102.33 / $169.82	Professional		$72.44	$102.33	$169.82
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $208.93	Facility		$128.82	$128.82	$208.93