Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.41 / $183.47 / $225.69	Facility		$183.41	$183.47	$225.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.41 / $183.48 / $205.42	Professional		$183.41	$183.48	$205.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $216.36 / $286.23 / $755.17	Facility		$216.36	$286.23	$755.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $183.48 / $183.48	Professional		$183.48	$183.48	$183.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.09 / $183.48 / $183.48	Facility		$173.09	$183.48	$183.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $183.48 / $183.48	Professional		$183.48	$183.48	$183.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $183.48 / $307.45	Professional		$183.48	$183.48	$307.45
United Facility/Professional Professional Modifier Low / Median / High Price $162.10 / $183.48 / $194.49	Professional		$162.10	$183.48	$194.49
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $160.80 / $192.96 / $283.64	Professional		$160.80	$192.96	$283.64