Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.94 / $97.37 / $173.88	Facility		$86.94	$97.37	$173.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $87.28	Professional		$87.28	$87.28	$87.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.92 / $144.09 / $381.47	Facility		$102.92	$144.09	$381.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.94 / $87.28 / $87.28	Professional		$86.94	$87.28	$87.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.34 / $87.28 / $87.28	Facility		$82.34	$87.28	$87.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $87.28	Professional		$87.28	$87.28	$87.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $91.57 / $141.74 / $269.39	Professional		$91.57	$141.74	$269.39
United Facility/Professional Professional Modifier Low / Median / High Price $77.87 / $87.28 / $87.28	Professional		$77.87	$87.28	$87.28
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $90.20 / $114.80	Professional		$82.00	$90.20	$114.80