Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $208.93 / $4,265.80	Facility		$173.78	$208.93	$4,265.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $229.09	Professional		$173.78	$173.78	$229.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $257.04 / $363.08	Facility		$204.17	$257.04	$363.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $190.55	Professional		$173.78	$173.78	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $173.78 / $173.78	Facility		$162.18	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $204.17	Professional		$173.78	$173.78	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $186.21	Professional		$125.89	$173.78	$186.21
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $213.80 / $309.03	Facility		$186.21	$213.80	$309.03