Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.03 / $129.63 / $132.93	Facility		$108.03	$129.63	$132.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $130.93	Professional		$95.90	$95.90	$130.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.65 / $172.62 / $419.15	Facility		$114.65	$172.62	$419.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $99.51	Professional		$95.90	$95.90	$99.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.47 / $95.90 / $95.90	Facility		$90.47	$95.90	$95.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $95.90	Professional		$95.90	$95.90	$95.90
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $160.69	Professional		$95.90	$95.90	$160.69
United Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $106.76	Professional		$95.90	$95.90	$106.76
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $420.19 / $534.79 / $2,160.07	Professional		$420.19	$534.79	$2,160.07