Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.65 / $938.25 / $938.25	Facility		$196.65	$938.25	$938.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.99 / $122.85 / $212.35	Professional		$114.99	$122.85	$212.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $526.05 / $661.11 / $734.42	Facility		$526.05	$661.11	$734.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.21 / $182.36 / $264.42	Professional		$124.21	$182.36	$264.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $352.68 / $726.41 / $17,886.09	Facility		$352.68	$726.41	$17,886.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.93 / $289.43 / $534.70	Professional		$164.93	$289.43	$534.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $142.19 / $245.98 / $468.42	Professional		$142.19	$245.98	$468.42
United Facility/Professional Professional Modifier Low / Median / High Price $176.93 / $213.79 / $647.01	Professional		$176.93	$213.79	$647.01
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $123.20 / $156.80	Professional		$112.00	$123.20	$156.80