Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.60 / $164.60 / $184.35	Facility		$164.60	$164.60	$184.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.60 / $164.60	Professional		$164.59	$164.60	$164.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.24 / $234.93 / $644.62	Facility		$187.24	$234.93	$644.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.75 / $159.75 / $159.75	Professional		$159.75	$159.75	$159.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.41 / $175.41 / $175.41	Facility		$175.41	$175.41	$175.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.41 / $175.41 / $175.41	Professional		$175.41	$175.41	$175.41
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $166.80 / $258.18 / $490.69	Professional		$166.80	$258.18	$490.69
United Facility/Professional Professional Modifier Low / Median / High Price $156.69 / $156.69 / $187.09	Professional		$156.69	$156.69	$187.09
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $156.04 / $195.19 / $3,000.00	Professional		$156.04	$195.19	$3,000.00