Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.55 / $207.06 / $4,305.30	Facility		$172.55	$207.06	$4,305.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.55 / $173.03 / $193.26	Professional		$172.55	$173.03	$193.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.04 / $269.93 / $712.16	Facility		$204.04	$269.93	$712.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $173.03	Professional		$173.03	$173.03	$173.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.24 / $173.03 / $173.03	Facility		$163.24	$173.03	$173.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $173.03	Professional		$173.03	$173.03	$173.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $289.95	Professional		$173.03	$173.03	$289.95
United Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $183.41	Professional		$173.03	$173.03	$183.41