Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.13 / $207.12 / $253.64	Facility		$206.13	$207.12	$253.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.13 / $207.13 / $215.41	Professional		$206.13	$207.13	$215.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $247.62 / $372.83 / $905.30	Facility		$247.62	$372.83	$905.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $207.13 / $207.13	Professional		$207.13	$207.13	$207.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.40 / $207.13 / $207.13	Facility		$195.40	$207.13	$207.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $207.13 / $207.13	Professional		$207.13	$207.13	$207.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $207.13 / $347.09	Professional		$207.13	$207.13	$347.09
United Facility/Professional Professional Modifier Low / Median / High Price $176.35 / $207.13 / $219.56	Professional		$176.35	$207.13	$219.56
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $179.39 / $197.33 / $251.15	Professional		$179.39	$197.33	$251.15