Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.27 / $296.27 / $355.54	Facility		$296.27	$296.27	$355.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.27 / $296.27 / $347.16	Professional		$296.27	$296.27	$347.16
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 $261.42 / $283.20 / $283.20	Professional		$261.42	$283.20	$283.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.69 / $128.69 / $128.69	Facility		$128.69	$128.69	$128.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $128.69 / $128.69	Professional		$128.69	$128.69	$128.69
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $296.27 / $430.02 / $914.47	Professional		$296.27	$430.02	$914.47
United Facility/Professional Professional Modifier Low / Median / High Price $259.31 / $259.31 / $296.27	Professional		$259.31	$259.31	$296.27
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $296.27 / $325.91 / $414.79	Professional		$296.27	$325.91	$414.79