Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $51.31 / $126.27	Facility		$51.31	$51.31	$126.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $51.32	Professional		$51.31	$51.31	$51.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.40 / $93.79 / $200.11	Facility		$84.40	$93.79	$200.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.52 / $33.35 / $33.35	Professional		$20.52	$33.35	$33.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.06 / $161.08 / $187.93	Facility		$117.06	$161.08	$187.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $74.47 / $169.02	Professional		$51.31	$74.47	$169.02
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $30.79 / $51.31	Professional		$21.55	$30.79	$51.31
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $51.32 / $59.94 / $76.98	Professional		$51.32	$59.94	$76.98