Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.90 / $147.90 / $177.48	Facility		$147.90	$147.90	$177.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.94 / $147.90 / $147.90	Professional		$140.94	$147.90	$147.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.55 / $143.55 / $143.55	Professional		$143.55	$143.55	$143.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Facility		$147.90	$147.90	$147.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Professional		$147.90	$147.90	$147.90
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $147.90 / $214.66	Professional		$147.90	$147.90	$214.66
United Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $145.00 / $147.90	Professional		$145.00	$145.00	$147.90
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $162.69 / $207.06	Professional		$147.90	$162.69	$207.06