Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $229.09	Professional		$81.28	$102.33	$229.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $537.03 / $602.56	Facility		$436.52	$537.03	$602.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $154.88 / $213.80	Professional		$95.50	$154.88	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $630.96 / $2,187.76	Facility		$398.11	$630.96	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $309.03	Professional		$125.89	$177.83	$309.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $173.78 / $263.03	Professional		$112.20	$173.78	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $269.15	Professional		$109.65	$151.36	$269.15
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13