Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.90 / $198.90 / $244.75	Facility		$198.90	$198.90	$244.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.90 / $198.90 / $198.90	Professional		$198.90	$198.90	$198.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $543.62 / $937.67	Facility		$0.02	$543.62	$937.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.80 / $202.80 / $202.80	Professional		$202.80	$202.80	$202.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.70 / $206.70 / $206.70	Facility		$206.70	$206.70	$206.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.70 / $206.70 / $206.70	Professional		$206.70	$206.70	$206.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $216.87 / $335.68 / $637.98	Professional		$216.87	$335.68	$637.98
United Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $234.00 / $234.00	Professional		$234.00	$234.00	$234.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $198.90 / $218.79 / $278.45	Professional		$198.90	$218.79	$278.45