Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.16 / $281.61 / $801.01	Facility		$128.16	$281.61	$801.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $77.19 / $77.19	Professional		$66.70	$77.19	$77.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.09 / $221.51 / $517.22	Facility		$141.09	$221.51	$517.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $74.37 / $74.38	Professional		$34.31	$74.37	$74.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.87 / $322.68 / $376.26	Facility		$154.87	$322.68	$376.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.75 / $131.75 / $164.68	Professional		$55.75	$131.75	$164.68
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $155.30 / $203.36 / $407.13	Professional		$155.30	$203.36	$407.13
United Facility/Professional Professional Modifier Low / Median / High Price $36.02 / $51.46 / $68.66	Professional		$36.02	$51.46	$68.66
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $83.11 / $2,500.00	Professional		$71.16	$83.11	$2,500.00