Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.50 / $164.36 / $292.52	Facility		$149.50	$164.36	$292.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.97 / $156.97 / $156.97	Professional		$156.97	$156.97	$156.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.99 / $230.85 / $633.41	Facility		$183.99	$230.85	$633.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.50 / $149.50 / $156.97	Professional		$149.50	$149.50	$156.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.37 / $172.37 / $172.37	Facility		$172.37	$172.37	$172.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.37 / $172.37 / $172.37	Professional		$172.37	$172.37	$172.37
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $121.78 / $149.40 / $276.95	Professional		$121.78	$149.40	$276.95
United Facility/Professional Professional Modifier Low / Median / High Price $149.63 / $153.90 / $176.99	Professional		$149.63	$153.90	$176.99
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $67.68 / $85.27 / $130.80	Professional		$67.68	$85.27	$130.80