Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.66 / $225.58 / $641.62	Facility		$102.66	$225.58	$641.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.48 / $79.22 / $91.67	Professional		$71.48	$79.22	$91.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.78 / $177.44 / $456.40	Facility		$150.78	$177.44	$456.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $59.57 / $59.58	Professional		$36.65	$59.57	$59.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.51 / $335.17 / $402.11	Facility		$165.51	$335.17	$402.11
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $133.04 / $326.12	Professional		$91.66	$133.04	$326.12
United Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $55.00 / $67.90	Professional		$38.50	$55.00	$67.90
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $76.05 / $88.83 / $2,500.00	Professional		$76.05	$88.83	$2,500.00