Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.84 / $263.33 / $749.00	Facility		$119.84	$263.33	$749.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $74.90 / $86.67	Professional		$74.90	$74.90	$86.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.02 / $195.60 / $417.30	Facility		$176.02	$195.60	$417.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.80 / $69.55 / $100.84	Professional		$42.80	$69.55	$100.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.21 / $391.43 / $469.39	Facility		$193.21	$391.43	$469.39
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $155.30 / $352.47	Professional		$107.00	$155.30	$352.47
United Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $64.20 / $107.00	Professional		$44.94	$64.20	$107.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $79.31 / $87.89 / $111.86	Professional		$79.31	$87.89	$111.86