Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $208.93	Facility		$104.71	$104.71	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $173.78	Professional		$104.71	$104.71	$173.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $275.42 / $457.09	Facility		$141.25	$275.42	$457.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $104.71 / $104.71	Facility		$97.72	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $109.65	Professional		$72.44	$72.44	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $316.23	Professional		$104.71	$104.71	$316.23
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $223.87 / $275.42	Facility		$162.18	$223.87	$275.42