Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.00 / $157.91 / $282.00	Facility		$141.00	$157.91	$282.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $141.60	Professional		$141.60	$141.60	$141.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.97 / $240.72 / $618.89	Facility		$166.97	$240.72	$618.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.00 / $141.60 / $141.60	Professional		$141.00	$141.60	$141.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.59 / $141.60 / $141.60	Facility		$133.59	$141.60	$141.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $141.60	Professional		$141.60	$141.60	$141.60
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $148.07 / $229.20 / $435.60	Professional		$148.07	$229.20	$435.60
United Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $141.60	Professional		$141.60	$141.60	$141.60
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $89.73 / $106.79 / $156.97	Professional		$89.73	$106.79	$156.97