Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $144.54 / $239.88	Facility		$120.23	$144.54	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $131.83	Professional		$120.23	$120.23	$131.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $316.23 / $524.81	Facility		$162.18	$316.23	$524.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $134.90	Professional		$120.23	$120.23	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $120.23 / $120.23	Facility		$109.65	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $229.09	Professional		$120.23	$199.53	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $263.03	Professional		$120.23	$120.23	$263.03