Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $156.88	Facility		$127.50	$127.50	$156.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.44 / $225.00 / $595.99	Facility		$149.44	$225.00	$595.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $127.50 / $127.50	Professional		$125.00	$127.50	$127.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Facility		$127.50	$127.50	$127.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $133.77 / $207.06 / $393.53	Professional		$133.77	$207.06	$393.53
United Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $125.00	Professional		$125.00	$125.00	$125.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $153.00 / $392.70	Professional		$127.50	$153.00	$392.70