Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $153.00	Facility		$127.50	$127.50	$153.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.50 / $127.50 / $127.50	Professional		$121.50	$127.50	$127.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Facility		$127.50	$127.50	$127.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $185.05	Professional		$127.50	$127.50	$185.05
United Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $150.00 / $150.00	Professional		$127.50	$150.00	$150.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $140.25 / $178.50	Professional		$127.50	$140.25	$178.50