Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.95 / $197.95 / $237.54	Facility		$197.95	$197.95	$237.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.83 / $147.34 / $197.95	Professional		$99.83	$147.34	$197.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $216.91 / $216.91 / $257.13	Facility		$216.91	$216.91	$257.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.20 / $193.20 / $195.72	Professional		$193.20	$193.20	$195.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.82 / $211.82 / $211.82	Facility		$211.82	$211.82	$211.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.63 / $154.63 / $211.82	Professional		$154.63	$154.63	$211.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $273.04 / $273.04 / $842.74	Professional		$273.04	$273.04	$842.74
United Facility/Professional Professional Modifier Low / Median / High Price $84.24 / $168.24 / $224.34	Professional		$84.24	$168.24	$224.34
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $209.13 / $253.35 / $360.09	Professional		$209.13	$253.35	$360.09