Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.95 / $117.54 / $209.90	Facility		$104.95	$117.54	$209.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $104.95	Professional		$104.73	$104.73	$104.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.83 / $188.51 / $475.10	Facility		$124.83	$188.51	$475.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $104.95	Professional		$104.73	$104.73	$104.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.80 / $104.73 / $104.73	Facility		$98.80	$104.73	$104.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $104.73	Professional		$104.73	$104.73	$104.73
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $109.88 / $170.08 / $323.25	Professional		$109.88	$170.08	$323.25
United Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $104.73	Professional		$104.73	$104.73	$104.73
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $91.49 / $100.64 / $128.09	Professional		$91.49	$100.64	$128.09