Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.49 / $113.67 / $202.98	Facility		$101.49	$113.67	$202.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $102.94	Professional		$102.94	$102.94	$102.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.69 / $185.29 / $466.93	Facility		$122.69	$185.29	$466.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.49 / $102.94 / $102.94	Professional		$101.49	$102.94	$102.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.11 / $102.94 / $102.94	Facility		$97.11	$102.94	$102.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $102.94	Professional		$102.94	$102.94	$102.94
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $167.17 / $317.72	Professional		$108.00	$167.17	$317.72
United Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $102.94	Professional		$102.94	$102.94	$102.94
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $141.53 / $155.68 / $198.14	Professional		$141.53	$155.68	$198.14