Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.30 / $104.30 / $128.34	Facility		$104.30	$104.30	$128.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.30 / $104.30 / $104.30	Professional		$104.30	$104.30	$104.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.04	Facility		$0.02	$0.02	$0.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $108.39 / $108.39	Professional		$108.39	$108.39	$108.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.39 / $108.39 / $108.39	Facility		$108.39	$108.39	$108.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $108.39 / $108.39	Professional		$108.39	$108.39	$108.39
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $147.11 / $180.47 / $334.55	Professional		$147.11	$180.47	$334.55
United Facility/Professional Professional Modifier Low / Median / High Price $122.70 / $122.70 / $122.70	Professional		$122.70	$122.70	$122.70
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $104.30 / $114.73 / $146.02	Professional		$104.30	$114.73	$146.02