Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.83 / $149.83 / $167.81	Facility		$149.83	$149.83	$167.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.83 / $149.83 / $149.83	Professional		$149.83	$149.83	$149.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.76 / $220.53 / $605.10	Facility		$175.76	$220.53	$605.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.96 / $149.96 / $149.96	Professional		$149.96	$149.96	$149.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.66 / $164.66 / $164.66	Facility		$164.66	$164.66	$164.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.66 / $164.66 / $164.66	Professional		$164.66	$164.66	$164.66
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $157.19 / $243.32 / $462.45	Professional		$157.19	$243.32	$462.45
United Facility/Professional Professional Modifier Low / Median / High Price $147.02 / $147.02 / $176.27	Professional		$147.02	$147.02	$176.27
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $133.31 / $155.71 / $235.16	Professional		$133.31	$155.71	$235.16