Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $163.19 / $200.82	Facility		$163.19	$163.19	$200.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Professional		$163.19	$163.19	$163.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $191.28 / $240.00 / $658.53	Facility		$191.28	$240.00	$658.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $163.19 / $163.19	Professional		$160.00	$163.19	$163.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Facility		$163.19	$163.19	$163.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Professional		$163.19	$163.19	$163.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $171.23 / $265.04 / $503.72	Professional		$171.23	$265.04	$503.72
United Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $160.00 / $160.00	Professional		$160.00	$160.00	$160.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $179.52 / $228.48	Professional		$163.19	$179.52	$228.48