Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.24 / $141.38 / $252.48	Facility		$126.24	$141.38	$252.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $127.45	Professional		$127.45	$127.45	$127.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.29 / $216.67 / $557.04	Facility		$150.29	$216.67	$557.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.24 / $127.45 / $127.45	Professional		$126.24	$127.45	$127.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.24 / $127.45 / $127.45	Facility		$120.24	$127.45	$127.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $127.45	Professional		$127.45	$127.45	$127.45
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $133.72 / $206.98 / $393.37	Professional		$133.72	$206.98	$393.37
United Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $184.80	Professional		$127.45	$127.45	$184.80
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $157.97 / $173.77 / $221.16	Professional		$157.97	$173.77	$221.16