Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.20 / $237.66 / $424.40	Facility		$212.20	$237.66	$424.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $203.58 / $212.20	Professional		$203.58	$203.58	$212.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $242.65 / $366.44 / $923.52	Facility		$242.65	$366.44	$923.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $203.58 / $212.20	Professional		$203.58	$203.58	$212.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.06 / $203.58 / $203.58	Facility		$192.06	$203.58	$203.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $203.58 / $203.58	Professional		$203.58	$203.58	$203.58
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $203.25 / $314.60 / $597.91	Professional		$203.25	$314.60	$597.91
United Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $203.58 / $215.79	Professional		$203.58	$203.58	$215.79
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $122.56 / $250.13 / $383.67	Professional		$122.56	$250.13	$383.67