Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.53 / $199.89 / $285.08	Professional		$139.53	$199.89	$285.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.98 / $179.58 / $257.52	Professional		$120.98	$179.58	$257.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.18 / $334.61 / $640.01	Facility		$183.18	$334.61	$640.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.11 / $188.20 / $279.77	Professional		$119.11	$188.20	$279.77
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $103.31 / $181.44 / $340.31	Professional		$103.31	$181.44	$340.31
United Facility/Professional Professional Modifier Low / Median / High Price $103.31 / $208.56 / $326.36	Professional		$103.31	$208.56	$326.36
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $83.33 / $91.66 / $116.66	Professional		$83.33	$91.66	$116.66