Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.46 / $275.68 / $784.14	Facility		$125.46	$275.68	$784.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.41 / $90.74 / $90.74	Professional		$78.41	$90.74	$90.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.27 / $204.77 / $436.88	Facility		$184.27	$204.77	$436.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.81 / $72.81 / $86.03	Professional		$44.81	$72.81	$86.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.27 / $409.39 / $491.39	Facility		$202.27	$409.39	$491.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.44 / $128.44 / $160.55	Professional		$128.44	$128.44	$160.55
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $152.03 / $186.51 / $369.01	Professional		$152.03	$186.51	$369.01
United Facility/Professional Professional Modifier Low / Median / High Price $47.05 / $67.20 / $112.02	Professional		$47.05	$67.20	$112.02
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,750.00 / $3,500.00	Professional		$2,500.00	$2,750.00	$3,500.00