Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.27 / $86.54 / $154.54	Facility		$77.27	$86.54	$154.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $77.39 / $77.39	Professional		$77.39	$77.39	$77.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.26 / $131.56 / $338.25	Facility		$91.26	$131.56	$338.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.27 / $77.39 / $77.39	Professional		$77.27	$77.39	$77.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.01 / $77.39 / $77.39	Facility		$73.01	$77.39	$77.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $77.39 / $77.39	Professional		$77.39	$77.39	$77.39
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $66.33 / $102.67 / $195.13	Professional		$66.33	$102.67	$195.13
United Facility/Professional Professional Modifier Low / Median / High Price $70.52 / $77.39 / $86.68	Professional		$70.52	$77.39	$86.68
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $52.16 / $87.67	Professional		$42.50	$52.16	$87.67