Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.14 / $393.64 / $1,119.65	Facility		$179.14	$393.64	$1,119.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.97 / $129.56 / $129.56	Professional		$111.97	$129.56	$129.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.12 / $292.39 / $623.80	Facility		$263.12	$292.39	$623.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $103.96 / $122.84	Professional		$9.64	$103.96	$122.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.83 / $584.15 / $701.69	Facility		$288.83	$584.15	$701.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.79 / $183.79 / $229.73	Professional		$183.79	$183.79	$229.73
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $217.08 / $266.32 / $526.89	Professional		$217.08	$266.32	$526.89
United Facility/Professional Professional Modifier Low / Median / High Price $67.18 / $95.97 / $95.97	Professional		$67.18	$95.97	$95.97
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