Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.06 / $187.11 / $334.12	Facility		$167.06	$187.11	$334.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $170.48 / $170.48	Professional		$170.48	$170.48	$170.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.03 / $289.82 / $745.12	Facility		$201.03	$289.82	$745.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.06 / $170.48 / $170.48	Professional		$167.06	$170.48	$170.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.83 / $170.48 / $170.48	Facility		$160.83	$170.48	$170.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $170.48 / $170.48	Professional		$170.48	$170.48	$170.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $178.87 / $276.86 / $526.19	Professional		$178.87	$276.86	$526.19
United Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $170.48 / $170.48	Professional		$170.48	$170.48	$170.48
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $428.06 / $470.87 / $599.28	Professional		$428.06	$470.87	$599.28