Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.11 / $93.11 / $111.73	Facility		$93.11	$93.11	$111.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $107.29	Professional		$89.41	$89.41	$107.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $89.41	Professional		$89.41	$89.41	$89.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.35 / $89.41 / $89.41	Facility		$84.35	$89.41	$89.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $89.41	Professional		$89.41	$89.41	$89.41
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $129.77	Professional		$89.41	$89.41	$129.77
United Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $191.34	Professional		$89.41	$89.41	$191.34
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $191.25 / $210.38 / $267.75	Professional		$191.25	$210.38	$267.75