Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.18 / $89.18 / $107.02	Facility		$89.18	$89.18	$107.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $117.37	Professional		$106.70	$106.70	$117.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $106.70	Professional		$106.70	$106.70	$106.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.66 / $106.70 / $106.70	Facility		$100.66	$106.70	$106.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $106.70	Professional		$106.70	$106.70	$106.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $154.86	Professional		$106.70	$106.70	$154.86
United Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $256.08	Professional		$106.70	$106.70	$256.08
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $299.20 / $329.12 / $418.88	Professional		$299.20	$329.12	$418.88