Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.09 / $115.09 / $138.11	Facility		$115.09	$115.09	$138.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.09 / $122.21 / $127.07	Professional		$115.09	$122.21	$127.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $303.25 / $355.53 / $395.02	Facility		$303.25	$355.53	$395.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.24 / $333.24 / $333.24	Professional		$333.24	$333.24	$333.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Professional		$153.00	$153.00	$153.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $299.92 / $487.07 / $987.97	Professional		$299.92	$487.07	$987.97
United Facility/Professional Professional Modifier Low / Median / High Price $114.71 / $166.25 / $350.61	Professional		$114.71	$166.25	$350.61
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $224.12 / $261.77 / $395.35	Professional		$224.12	$261.77	$395.35