Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.12 / $103.71 / $4,280.70	Facility		$99.12	$103.71	$4,280.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.12 / $99.13 / $103.71	Professional		$99.12	$99.13	$103.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.15 / $178.43 / $449.69	Facility		$118.15	$178.43	$449.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $99.13 / $103.71	Professional		$99.13	$99.13	$103.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.52 / $99.13 / $99.13	Facility		$93.52	$99.13	$99.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $99.13 / $99.13	Professional		$99.13	$99.13	$99.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $104.01 / $160.99 / $305.95	Professional		$104.01	$160.99	$305.95
United Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $99.13 / $105.08	Professional		$99.13	$99.13	$105.08
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $354.88 / $440.05 / $672.14	Professional		$354.88	$440.05	$672.14