Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.06 / $89.06 / $106.87	Facility		$89.06	$89.06	$106.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.06 / $94.57 / $98.34	Professional		$89.06	$94.57	$98.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.69 / $275.14 / $305.70	Facility		$234.69	$275.14	$305.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.89 / $257.89 / $257.89	Professional		$257.89	$257.89	$257.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $119.00 / $119.00	Professional		$119.00	$119.00	$119.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $232.11 / $376.95 / $764.59	Professional		$232.11	$376.95	$764.59
United Facility/Professional Professional Modifier Low / Median / High Price $86.42 / $128.66 / $278.77	Professional		$86.42	$128.66	$278.77
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $173.45 / $190.80 / $242.83	Professional		$173.45	$190.80	$242.83