Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.86 / $99.43 / $165.72	Facility		$82.86	$99.43	$165.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $85.18	Professional		$81.90	$81.90	$85.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.91 / $147.41 / $357.96	Facility		$97.91	$147.41	$357.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $82.86	Professional		$81.90	$81.90	$82.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.26 / $81.90 / $81.90	Facility		$77.26	$81.90	$81.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $81.90	Professional		$81.90	$81.90	$81.90
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $137.24	Professional		$81.90	$81.90	$137.24
United Facility/Professional Professional Modifier Low / Median / High Price $67.70 / $81.90 / $86.81	Professional		$67.70	$81.90	$86.81
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $78.54 / $99.96	Professional		$71.40	$78.54	$99.96