Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $223.87 / $251.19	Facility		$199.53	$223.87	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $199.53 / $199.53	Professional		$162.18	$199.53	$199.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.04	Facility		$0.02	$0.02	$0.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $346.74 / $398.11	Professional		$208.93	$346.74	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $234.42 / $316.23	Professional		$208.93	$234.42	$316.23