Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $154.88 / $173.78	Facility		$138.04	$154.88	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $138.04 / $138.04	Professional		$112.20	$138.04	$138.04
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 $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $257.04 / $331.13	Professional		$147.91	$257.04	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $331.13 / $331.13	Professional		$302.00	$331.13	$331.13