Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.97 / $521.20 / $521.20	Facility		$162.97	$521.20	$521.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $114.96 / $137.97	Professional		$74.90	$114.96	$137.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.08 / $548.03 / $608.79	Facility		$436.08	$548.03	$608.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.86 / $151.02 / $218.97	Professional		$102.86	$151.02	$218.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.77 / $412.67 / $4,427.66	Facility		$226.77	$412.67	$4,427.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.61 / $245.35 / $370.93	Professional		$136.61	$245.35	$370.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $117.76 / $193.72 / $387.91	Professional		$117.76	$193.72	$387.91
United Facility/Professional Professional Modifier Low / Median / High Price $142.07 / $171.67 / $270.16	Professional		$142.07	$171.67	$270.16
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $89.82 / $98.80 / $125.75	Professional		$89.82	$98.80	$125.75