Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.77 / $220.69 / $264.83	Facility		$179.77	$220.69	$264.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.76 / $220.69 / $220.69	Professional		$199.76	$220.69	$220.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.86 / $164.86 / $164.86	Professional		$164.86	$164.86	$164.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $278.43 / $343.77 / $675.78	Professional		$278.43	$343.77	$675.78
United Facility/Professional Professional Modifier Low / Median / High Price $271.23 / $323.39 / $561.15	Professional		$271.23	$323.39	$561.15
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $154.46 / $169.91 / $216.24	Professional		$154.46	$169.91	$216.24