Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.54 / $300.02 / $926.34	Facility		$136.54	$300.02	$926.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.36 / $105.36 / $121.92	Professional		$105.36	$105.36	$121.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.54 / $235.99 / $607.03	Facility		$200.54	$235.99	$607.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.76 / $79.23 / $114.89	Professional		$48.76	$79.23	$114.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.13 / $445.30 / $534.79	Facility		$220.13	$445.30	$534.79
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $121.91 / $176.94 / $466.66	Professional		$121.91	$176.94	$466.66
United Facility/Professional Professional Modifier Low / Median / High Price $51.20 / $73.15 / $121.91	Professional		$51.20	$73.15	$121.91
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $112.39 / $131.27 / $2,500.00	Professional		$112.39	$131.27	$2,500.00