Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.72 / $137.72 / $165.26	Facility		$137.72	$137.72	$165.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $137.72 / $161.38	Professional		$137.72	$137.72	$161.38
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 $97.16 / $97.16 / $97.16	Professional		$97.16	$97.16	$97.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.72 / $137.72 / $137.72	Facility		$137.72	$137.72	$137.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $137.72 / $137.72	Professional		$137.72	$137.72	$137.72
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $208.87 / $425.07	Professional		$137.72	$208.87	$425.07
United Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $153.91 / $153.91	Professional		$137.72	$153.91	$153.91
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $151.49 / $192.81	Professional		$137.72	$151.49	$192.81