Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.48 / $128.22 / $228.96	Facility		$114.48	$128.22	$228.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $114.48	Professional		$112.45	$112.45	$114.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.03 / $202.41 / $510.12	Facility		$134.03	$202.41	$510.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $114.48	Professional		$112.45	$112.45	$114.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.09 / $112.45 / $112.45	Facility		$106.09	$112.45	$112.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $112.45	Professional		$112.45	$112.45	$112.45
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $117.98 / $182.62 / $347.08	Professional		$117.98	$182.62	$347.08
United Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $112.45	Professional		$112.45	$112.45	$112.45
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $136.55 / $160.19 / $241.95	Professional		$136.55	$160.19	$241.95