Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.93 / $186.93 / $230.02	Facility		$186.93	$186.93	$230.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.93 / $186.93 / $186.93	Professional		$186.93	$186.93	$186.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.96 / $27.67 / $329.87	Facility		$8.96	$27.67	$329.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.26 / $186.93 / $186.93	Professional		$183.26	$186.93	$186.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.93 / $186.93 / $186.93	Facility		$186.93	$186.93	$186.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.93 / $186.93 / $186.93	Professional		$186.93	$186.93	$186.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $196.13 / $303.57 / $576.96	Professional		$196.13	$303.57	$576.96
United Facility/Professional Professional Modifier Low / Median / High Price $183.26 / $183.26 / $183.26	Professional		$183.26	$183.26	$183.26
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $186.93 / $205.62 / $261.70	Professional		$186.93	$205.62	$261.70