Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.98 / $473.40 / $2,627.88	Facility		$86.98	$473.40	$2,627.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.93 / $86.98 / $86.98	Professional		$84.93	$86.98	$86.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.94 / $127.91 / $350.95	Facility		$101.94	$127.91	$350.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.27 / $86.98 / $86.98	Professional		$85.27	$86.98	$86.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.98 / $86.98 / $86.98	Facility		$86.98	$86.98	$86.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $86.98 / $86.98	Professional		$86.98	$86.98	$86.98
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $131.91 / $268.45	Professional		$86.98	$131.91	$268.45
United Facility/Professional Professional Modifier Low / Median / High Price $85.27 / $85.27 / $86.98	Professional		$85.27	$85.27	$86.98
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $99.41 / $123.27 / $188.28	Professional		$99.41	$123.27	$188.28