Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.70 / $109.42 / $195.40	Facility		$97.70	$109.42	$195.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $114.54	Professional		$114.54	$114.54	$114.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.52 / $206.17 / $519.60	Facility		$136.52	$206.17	$519.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.70 / $114.54 / $114.54	Professional		$97.70	$114.54	$114.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.05 / $114.54 / $114.54	Facility		$108.05	$114.54	$114.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $114.54	Professional		$114.54	$114.54	$114.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $120.18 / $186.01 / $353.53	Professional		$120.18	$186.01	$353.53
United Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $274.89	Professional		$114.54	$114.54	$274.89
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $176.70 / $202.80 / $298.12	Professional		$176.70	$202.80	$298.12