Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.96 / $181.40 / $323.92	Facility		$161.96	$181.40	$323.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $165.83	Professional		$165.83	$165.83	$165.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.65 / $298.49 / $752.27	Facility		$197.65	$298.49	$752.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.96 / $165.83 / $165.83	Professional		$161.96	$165.83	$165.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.44 / $165.83 / $165.83	Facility		$156.44	$165.83	$165.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $165.83	Professional		$165.83	$165.83	$165.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $173.99 / $269.31 / $511.83	Professional		$173.99	$269.31	$511.83
United Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $165.83	Professional		$165.83	$165.83	$165.83
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $142.43 / $178.16 / $3,000.00	Professional		$142.43	$178.16	$3,000.00