Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.39 / $115.39 / $138.47	Facility		$115.39	$115.39	$138.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.35 / $89.54 / $115.39	Professional		$84.35	$89.54	$115.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.94 / $204.94 / $242.94	Facility		$204.94	$204.94	$242.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $111.51 / $111.51	Professional		$75.00	$111.51	$111.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.11 / $149.11 / $149.11	Facility		$149.11	$149.11	$149.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.85 / $108.85 / $149.11	Professional		$108.85	$108.85	$149.11
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $165.94 / $165.94 / $512.16	Professional		$165.94	$165.94	$512.16
United Facility/Professional Professional Modifier Low / Median / High Price $68.16 / $102.25 / $121.39	Professional		$68.16	$102.25	$121.39
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $153.49 / $168.84 / $214.89	Professional		$153.49	$168.84	$214.89