Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.91 / $158.91 / $190.70	Facility		$158.91	$158.91	$190.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $158.91 / $158.91	Professional		$158.91	$158.91	$158.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $189.99 / $238.38 / $654.08	Facility		$189.99	$238.38	$654.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $158.91 / $158.91	Professional		$158.91	$158.91	$158.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.91 / $158.91 / $158.91	Facility		$149.91	$158.91	$158.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $158.91 / $158.91	Professional		$158.91	$158.91	$158.91
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $264.60 / $523.50	Professional		$158.91	$264.60	$523.50
United Facility/Professional Professional Modifier Low / Median / High Price $135.08 / $158.91 / $158.91	Professional		$135.08	$158.91	$158.91
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $94.85 / $104.34 / $132.79	Professional		$94.85	$104.34	$132.79