Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $177.83 / $2,398.83	Facility		$93.33	$177.83	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $102.33	Professional		$93.33	$93.33	$102.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $245.47 / $407.38	Facility		$128.82	$245.47	$407.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $107.15	Professional		$93.33	$93.33	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $93.33 / $93.33	Facility		$89.13	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $158.49 / $181.97	Professional		$95.50	$158.49	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $144.54	Professional		$93.33	$93.33	$144.54