Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $131.83 / $134.90	Facility		$112.20	$131.83	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $141.25	Professional		$112.20	$112.20	$141.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $112.20 / $112.20	Facility		$107.15	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $181.97	Professional		$112.20	$112.20	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $125.89 / $812.83	Professional		$112.20	$125.89	$812.83
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $1,318.26	Facility		$831.76	$831.76	$1,318.26