Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.75 / $351.01 / $998.41	Facility		$159.75	$351.01	$998.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.84 / $99.84 / $115.53	Professional		$99.84	$99.84	$115.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.63 / $276.10 / $710.20	Facility		$234.63	$276.10	$710.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $92.70 / $92.71	Professional		$19.88	$92.70	$92.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.55 / $521.91 / $625.70	Facility		$257.55	$521.91	$625.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $207.01 / $507.46	Professional		$142.63	$207.01	$507.46
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $85.58 / $142.63	Professional		$59.90	$85.58	$142.63
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $106.50 / $117.15 / $149.10	Professional		$106.50	$117.15	$149.10