Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $131.83 / $131.83	Facility		$109.65	$131.83	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $138.04	Professional		$109.65	$109.65	$138.04
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 $102.33 / $109.65 / $109.65	Facility		$102.33	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $177.83	Professional		$109.65	$109.65	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $125.89 / $1,659.59	Professional		$109.65	$125.89	$1,659.59
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $2,290.87	Facility		$1,412.54	$1,412.54	$2,290.87