Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $245.47 / $354.81	Facility		$151.36	$245.47	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $131.83 / $275.42	Professional		$91.20	$131.83	$275.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $181.97 / $251.19	Professional		$112.20	$181.97	$251.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $257.04	Professional		$112.20	$177.83	$257.04
Optum Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $323.59	Professional		$114.82	$165.96	$323.59
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13