Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $208.93	Facility		$173.78	$173.78	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $173.78 / $173.78	Professional		$138.04	$173.78	$173.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $457.09 / $758.58	Facility		$229.09	$457.09	$758.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $173.78 / $194.98	Professional		$169.82	$173.78	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $338.84	Professional		$181.97	$181.97	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $204.17	Professional		$173.78	$204.17	$204.17
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78