Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.74 / $697.69 / $697.69	Facility		$283.74	$697.69	$697.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.04 / $200.77 / $200.77	Professional		$165.04	$200.77	$200.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $760.94 / $956.30 / $1,062.34	Facility		$760.94	$956.30	$1,062.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.91 / $261.20 / $378.74	Professional		$177.91	$261.20	$378.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $764.73 / $1,530.64 / $3,239.58	Facility		$764.73	$1,530.64	$3,239.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.98 / $441.29 / $583.02	Professional		$237.98	$441.29	$583.02
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $207.15 / $361.96 / $1,205.61	Professional		$207.15	$361.96	$1,205.61
United Facility/Professional Professional Modifier Low / Median / High Price $188.37 / $256.54 / $381.34	Professional		$188.37	$256.54	$381.34
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $163.88 / $180.27 / $229.43	Professional		$163.88	$180.27	$229.43