Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $131.83 / $154.88	Facility		$128.82	$131.83	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $169.82	Professional		$104.71	$131.83	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $302.00	Professional		$147.91	$147.91	$302.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $208.93 / $331.13	Professional		$134.90	$208.93	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $275.42	Professional		$125.89	$125.89	$275.42
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $3,981.07	Facility		$2,511.89	$2,511.89	$3,981.07