Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.84 / $164.84 / $197.81	Facility		$164.84	$164.84	$197.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $193.95	Professional		$161.62	$161.62	$193.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $161.62	Professional		$161.62	$161.62	$161.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.47 / $161.62 / $161.62	Facility		$152.47	$161.62	$161.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $161.62	Professional		$161.62	$161.62	$161.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $234.58	Professional		$161.62	$161.62	$234.58
United Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $379.65	Professional		$161.62	$161.62	$379.65
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $234.55 / $328.37 / $364.33	Professional		$234.55	$328.37	$364.33