Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.20 / $327.77 / $327.77	Facility		$180.20	$327.77	$327.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.20 / $180.20 / $180.20	Professional		$180.20	$180.20	$180.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $217.55 / $272.95 / $748.95	Facility		$217.55	$272.95	$748.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.28 / $173.28 / $185.60	Professional		$173.28	$173.28	$185.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.81 / $203.81 / $203.81	Facility		$203.81	$203.81	$203.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.81 / $203.81 / $203.81	Professional		$203.81	$203.81	$203.81
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $147.97 / $229.03 / $435.29	Professional		$147.97	$229.03	$435.29
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $218.36	Professional		$181.97	$181.97	$218.36
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $132.26 / $184.24 / $282.61	Professional		$132.26	$184.24	$282.61