Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.50 / $283.74 / $283.74	Facility		$125.50	$283.74	$283.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $125.50 / $125.50	Professional		$125.50	$125.50	$125.50
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 $135.00 / $135.00 / $135.00	Professional		$135.00	$135.00	$135.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.94 / $137.94 / $137.94	Facility		$137.94	$137.94	$137.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.94 / $137.94 / $137.94	Professional		$137.94	$137.94	$137.94
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $131.66 / $203.81 / $387.36	Professional		$131.66	$203.81	$387.36
United Facility/Professional Professional Modifier Low / Median / High Price $147.65 / $147.65 / $169.80	Professional		$147.65	$147.65	$169.80
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $124.99 / $146.58 / $221.38	Professional		$124.99	$146.58	$221.38