Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $158.19	Facility		$141.25	$141.25	$158.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
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 $142.00 / $142.00 / $142.00	Professional		$142.00	$142.00	$142.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.50 / $148.50 / $148.50	Facility		$148.50	$148.50	$148.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.50 / $148.50 / $148.50	Professional		$148.50	$148.50	$148.50
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $141.77 / $219.43 / $417.05	Professional		$141.77	$219.43	$417.05
United Facility/Professional Professional Modifier Low / Median / High Price $158.96 / $158.96 / $182.80	Professional		$158.96	$158.96	$182.80
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $135.15 / $162.13 / $238.35	Professional		$135.15	$162.13	$238.35