Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.06 / $126.06 / $151.27	Facility		$126.06	$126.06	$151.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $142.36	Professional		$123.80	$123.80	$142.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $123.80	Professional		$123.80	$123.80	$123.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.79 / $123.80 / $123.80	Facility		$116.79	$123.80	$123.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $123.80	Professional		$123.80	$123.80	$123.80
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $179.68	Professional		$123.80	$123.80	$179.68
United Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $263.20	Professional		$123.80	$123.80	$263.20
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $229.50 / $252.45 / $321.30	Professional		$229.50	$252.45	$321.30