Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.89 / $359.59 / $359.59	Facility		$174.89	$359.59	$359.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.01 / $103.74 / $126.86	Professional		$73.01	$103.74	$126.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $469.08 / $589.51 / $654.88	Facility		$469.08	$589.51	$654.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $160.99 / $227.67	Professional		$109.65	$160.99	$227.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $470.05 / $618.69 / $1,402.08	Facility		$470.05	$618.69	$1,402.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.69 / $194.63 / $355.30	Professional		$139.69	$194.63	$355.30
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $125.53 / $223.09 / $413.51	Professional		$125.53	$223.09	$413.51
United Facility/Professional Professional Modifier Low / Median / High Price $104.32 / $148.25 / $257.37	Professional		$104.32	$148.25	$257.37
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $83.70 / $105.73 / $159.68	Professional		$83.70	$105.73	$159.68