Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.19 / $131.25 / $234.38	Facility		$117.19	$131.25	$234.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Professional		$117.36	$117.36	$117.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.88 / $211.25 / $532.39	Facility		$139.88	$211.25	$532.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.19 / $117.36 / $117.36	Professional		$117.19	$117.36	$117.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.72 / $117.36 / $117.36	Facility		$110.72	$117.36	$117.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Professional		$117.36	$117.36	$117.36
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $123.13 / $190.59 / $362.23	Professional		$123.13	$190.59	$362.23
United Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Professional		$117.36	$117.36	$117.36
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $119.23 / $151.75	Professional		$108.39	$119.23	$151.75