Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.64 / $403.51 / $1,147.72	Facility		$183.64	$403.51	$1,147.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.89 / $141.69 / $163.96	Professional		$127.89	$141.69	$163.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.70 / $317.39 / $816.41	Facility		$269.70	$317.39	$816.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.58 / $106.57 / $106.57	Professional		$65.58	$106.57	$106.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.05 / $599.71 / $719.24	Facility		$296.05	$599.71	$719.24
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $163.96 / $237.97 / $583.35	Professional		$163.96	$237.97	$583.35
United Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $98.38 / $121.45	Professional		$68.86	$98.38	$121.45
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $136.03 / $158.88 / $2,500.00	Professional		$136.03	$158.88	$2,500.00