Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.39 / $141.63 / $430.40	Facility		$83.39	$141.63	$430.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.13 / $45.47 / $113.86	Professional		$37.13	$45.47	$113.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $222.82 / $280.02 / $311.08	Facility		$222.82	$280.02	$311.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.72 / $77.41 / $109.47	Professional		$52.72	$77.41	$109.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.35 / $498.67 / $529.92	Facility		$255.35	$498.67	$529.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.62 / $93.25 / $167.42	Professional		$59.62	$93.25	$167.42
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $60.36 / $107.27 / $198.83	Professional		$60.36	$107.27	$198.83
United Facility/Professional Professional Modifier Low / Median / High Price $30.89 / $69.08 / $111.36	Professional		$30.89	$69.08	$111.36
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $49.05 / $74.28	Professional		$39.24	$49.05	$74.28