Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.24 / $163.24 / $182.83	Facility		$163.24	$163.24	$182.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.24 / $163.24 / $163.24	Professional		$163.24	$163.24	$163.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.04	Facility		$0.02	$0.02	$0.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.00 / $176.00 / $176.00	Professional		$176.00	$176.00	$176.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.39 / $179.39 / $179.39	Facility		$179.39	$179.39	$179.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.39 / $179.39 / $179.39	Professional		$179.39	$179.39	$179.39
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $171.27 / $265.10 / $503.84	Professional		$171.27	$265.10	$503.84
United Facility/Professional Professional Modifier Low / Median / High Price $164.98 / $186.43 / $192.05	Professional		$164.98	$186.43	$192.05
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $163.24 / $190.66 / $287.95	Professional		$163.24	$190.66	$287.95