Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $1,023.29	Facility		$338.84	$338.84	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $218.78	Professional		$81.28	$102.33	$218.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $588.84 / $660.69	Facility		$467.74	$588.84	$660.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $165.96 / $218.78	Professional		$104.71	$165.96	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $512.86 / $645.65	Facility		$316.23	$512.86	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $323.59	Professional		$112.20	$169.82	$323.59
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $190.55 / $281.84	Professional		$120.23	$190.55	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $141.25 / $263.03	Professional		$81.28	$141.25	$263.03
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11