Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.62 / $159.03 / $159.03	Facility		$122.62	$159.03	$159.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.14 / $38.61 / $94.45	Professional		$25.14	$38.61	$94.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $328.35 / $412.64 / $458.40	Facility		$328.35	$412.64	$458.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $113.50 / $159.77	Professional		$77.31	$113.50	$159.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $405.17 / $405.17 / $405.17	Facility		$405.17	$405.17	$405.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.10 / $181.22 / $248.10	Professional		$101.10	$181.22	$248.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $88.50 / $169.03 / $291.52	Professional		$88.50	$169.03	$291.52
United Facility/Professional Professional Modifier Low / Median / High Price $77.79 / $99.07 / $209.28	Professional		$77.79	$99.07	$209.28
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $69.61 / $106.77	Professional		$38.57	$69.61	$106.77