Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $83.18 / $173.78	Professional		$66.07	$83.18	$173.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $446.68 / $501.19	Facility		$354.81	$446.68	$501.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $128.82 / $186.21	Professional		$79.43	$128.82	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $616.60 / $1,412.54	Facility		$275.42	$616.60	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $154.88 / $251.19	Professional		$104.71	$154.88	$251.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $144.54 / $213.80	Professional		$89.13	$144.54	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $218.78	Professional		$87.10	$117.49	$218.78
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07