Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.35 / $120.36 / $1,102.75	Facility		$120.35	$120.36	$1,102.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Professional		$120.36	$120.36	$120.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.13 / $212.40 / $439.62	Facility		$137.13	$212.40	$439.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $120.36 / $120.36	Professional		$118.00	$120.36	$120.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Facility		$120.36	$120.36	$120.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Professional		$120.36	$120.36	$120.36
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $126.28 / $195.46 / $371.49	Professional		$126.28	$195.46	$371.49
United Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $118.00 / $118.00	Professional		$118.00	$118.00	$118.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $130.44 / $163.16 / $3,000.00	Professional		$130.44	$163.16	$3,000.00