Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.74 / $260.08 / $266.70	Facility		$216.74	$260.08	$266.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.74 / $216.90 / $225.58	Professional		$216.74	$216.90	$225.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $259.30 / $390.42 / $948.00	Facility		$259.30	$390.42	$948.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $216.90	Professional		$216.90	$216.90	$216.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.63 / $216.90 / $216.90	Facility		$204.63	$216.90	$216.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $216.90	Professional		$216.90	$216.90	$216.90
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $363.46	Professional		$216.90	$216.90	$363.46
United Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $229.91	Professional		$216.90	$216.90	$229.91
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $200.02 / $254.58 / $3,375.00	Professional		$200.02	$254.58	$3,375.00