Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.46 / $108.46 / $109.28	Facility		$108.46	$108.46	$109.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.46 / $108.47 / $130.16	Professional		$108.46	$108.47	$130.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.68 / $195.25 / $474.09	Facility		$129.68	$195.25	$474.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $108.47	Professional		$108.47	$108.47	$108.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $108.47 / $108.47	Facility		$102.33	$108.47	$108.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $108.47	Professional		$108.47	$108.47	$108.47
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $181.76	Professional		$108.47	$108.47	$181.76
United Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $120.75	Professional		$108.47	$108.47	$120.75
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $371.94 / $465.27 / $784.90	Professional		$371.94	$465.27	$784.90