Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.57 / $187.57 / $225.08	Facility		$187.57	$187.57	$225.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.74 / $187.57 / $187.57	Professional		$178.74	$187.57	$187.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.75 / $510.80 / $643.66	Facility		$161.75	$510.80	$643.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.60 / $163.60 / $163.60	Professional		$163.60	$163.60	$163.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.57 / $188.30 / $322.80	Facility		$187.57	$188.30	$322.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.57 / $187.57 / $187.57	Professional		$187.57	$187.57	$187.57
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $187.57 / $247.59 / $273.74	Professional		$187.57	$247.59	$273.74
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $175.48 / $210.58 / $263.22	Professional		$175.48	$210.58	$263.22