Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.31 / $143.31 / $176.34	Facility		$143.31	$143.31	$176.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.31 / $143.31 / $143.31	Professional		$143.31	$143.31	$143.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.97 / $210.75 / $578.27	Facility		$167.97	$210.75	$578.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.50 / $143.31 / $143.31	Professional		$140.50	$143.31	$143.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.31 / $143.31 / $143.31	Facility		$143.31	$143.31	$143.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.31 / $143.31 / $143.31	Professional		$143.31	$143.31	$143.31
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $150.36 / $232.74 / $442.33	Professional		$150.36	$232.74	$442.33
United Facility/Professional Professional Modifier Low / Median / High Price $140.50 / $140.50 / $140.50	Professional		$140.50	$140.50	$140.50
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $143.31 / $157.63 / $200.63	Professional		$143.31	$157.63	$200.63