Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.92 / $107.92 / $129.50	Facility		$107.92	$107.92	$129.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $117.53	Professional		$97.94	$97.94	$117.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.65 / $352.58 / $444.30	Facility		$111.65	$352.58	$444.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $97.94	Professional		$97.94	$97.94	$97.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.40 / $97.94 / $97.94	Facility		$92.40	$97.94	$97.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $97.94	Professional		$97.94	$97.94	$97.94
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $142.15	Professional		$97.94	$97.94	$142.15
United Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $180.09	Professional		$97.94	$97.94	$180.09
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $192.98 / $241.41 / $3,375.00	Professional		$192.98	$241.41	$3,375.00