Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.99 / $159.99 / $191.99	Facility		$159.99	$159.99	$191.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.40 / $124.15 / $159.99	Professional		$95.40	$124.15	$159.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $284.14 / $284.14 / $336.82	Facility		$284.14	$284.14	$336.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.22 / $139.22 / $147.91	Professional		$139.22	$139.22	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.84 / $144.84 / $144.84	Facility		$144.84	$144.84	$144.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.73 / $105.73 / $144.84	Professional		$105.73	$105.73	$144.84
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $230.06 / $230.06 / $710.08	Professional		$230.06	$230.06	$710.08
United Facility/Professional Professional Modifier Low / Median / High Price $94.50 / $141.76 / $168.31	Professional		$94.50	$141.76	$168.31
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $212.82 / $234.10 / $297.95	Professional		$212.82	$234.10	$297.95