Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.67 / $168.47 / $168.47	Facility		$94.67	$168.47	$168.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.51 / $46.94 / $64.72	Professional		$39.51	$46.94	$64.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $253.70 / $318.83 / $354.19	Facility		$253.70	$318.83	$354.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.52 / $87.38 / $123.57	Professional		$59.52	$87.38	$123.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.15 / $268.50 / $3,020.85	Facility		$209.15	$268.50	$3,020.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $101.67 / $189.93	Professional		$72.20	$101.67	$189.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $68.14 / $121.10 / $224.46	Professional		$68.14	$121.10	$224.46
United Facility/Professional Professional Modifier Low / Median / High Price $52.55 / $74.59 / $164.84	Professional		$52.55	$74.59	$164.84
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $45.16 / $49.68 / $63.22	Professional		$45.16	$49.68	$63.22