Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.32 / $143.32 / $171.98	Facility		$143.32	$143.32	$171.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.56 / $111.22 / $143.32	Professional		$78.56	$111.22	$143.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.53 / $254.53 / $301.72	Facility		$254.53	$254.53	$301.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.28 / $116.28 / $121.83	Professional		$116.28	$116.28	$121.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.29 / $119.29 / $119.29	Facility		$119.29	$119.29	$119.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $87.08 / $119.29	Professional		$87.08	$87.08	$119.29
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $206.09 / $206.09 / $636.10	Professional		$206.09	$206.09	$636.10
United Facility/Professional Professional Modifier Low / Median / High Price $84.66 / $126.98 / $150.78	Professional		$84.66	$126.98	$150.78
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $190.64 / $209.70 / $266.89	Professional		$190.64	$209.70	$266.89