Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.44 / $219.29 / $561.32	Facility		$182.44	$219.29	$561.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $195.79	Professional		$182.45	$182.45	$195.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $217.46 / $328.41 / $827.67	Facility		$217.46	$328.41	$827.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $195.79	Professional		$182.45	$182.45	$195.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.12 / $182.45 / $182.45	Facility		$172.12	$182.45	$182.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $182.45	Professional		$182.45	$182.45	$182.45
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $191.43 / $296.30 / $563.13	Professional		$191.43	$296.30	$563.13
United Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $182.45	Professional		$182.45	$182.45	$182.45
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $90.16 / $200.00 / $306.77	Professional		$90.16	$200.00	$306.77