Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.58 / $125.50 / $128.69	Facility		$104.58	$125.50	$128.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $126.76	Professional		$89.34	$89.34	$126.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.81 / $160.81 / $390.48	Facility		$106.81	$160.81	$390.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $92.71	Professional		$89.34	$89.34	$92.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.29 / $89.34 / $89.34	Facility		$84.29	$89.34	$89.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $89.34	Professional		$89.34	$89.34	$89.34
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $149.71	Professional		$89.34	$89.34	$149.71
United Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $97.54	Professional		$89.34	$89.34	$97.54
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $126.14 / $151.78 / $229.23	Professional		$126.14	$151.78	$229.23