Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.97 / $151.97 / $187.01	Facility		$151.97	$151.97	$187.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $151.97 / $151.97	Professional		$151.97	$151.97	$151.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.88 / $172.00 / $237.24	Facility		$139.88	$172.00	$237.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.62 / $120.98 / $120.98	Professional		$118.62	$120.98	$120.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.97 / $151.97 / $151.97	Facility		$151.97	$151.97	$151.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $151.97 / $151.97	Professional		$151.97	$151.97	$151.97
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $206.27 / $253.05 / $469.09	Professional		$206.27	$253.05	$469.09
United Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $151.97 / $151.97	Professional		$151.97	$151.97	$151.97
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $58.14 / $69.77 / $87.21	Professional		$58.14	$69.77	$87.21