Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.56 / $158.56 / $195.11	Facility		$158.56	$158.56	$195.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Professional		$158.56	$158.56	$158.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.53 / $204.39 / $279.81	Facility		$73.53	$204.39	$279.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.44 / $158.55 / $158.55	Professional		$155.44	$158.55	$158.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Facility		$158.56	$158.56	$158.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Professional		$158.56	$158.56	$158.56
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $215.20 / $264.00 / $489.40	Professional		$215.20	$264.00	$489.40
United Facility/Professional Professional Modifier Low / Median / High Price $104.13 / $155.44 / $155.44	Professional		$104.13	$155.44	$155.44
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $154.84 / $170.32 / $216.78	Professional		$154.84	$170.32	$216.78