Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.80 / $102.80 / $123.36	Facility		$102.80	$102.80	$123.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.96 / $102.80 / $102.80	Professional		$97.96	$102.80	$102.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.80 / $102.80 / $102.80	Professional		$102.80	$102.80	$102.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.80 / $102.80 / $102.80	Facility		$102.80	$102.80	$102.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.80 / $102.80 / $102.80	Professional		$102.80	$102.80	$102.80
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $102.80 / $102.80 / $149.19	Professional		$102.80	$102.80	$149.19
United Facility/Professional Professional Modifier Low / Median / High Price $100.78 / $100.78 / $241.87	Professional		$100.78	$100.78	$241.87
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $102.80 / $113.08 / $143.91	Professional		$102.80	$113.08	$143.91