Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $317.35 / $608.72	Facility		$100.00	$317.35	$608.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.83 / $99.11 / $99.11	Professional		$82.83	$99.11	$99.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.05 / $168.34 / $393.06	Facility		$143.05	$168.34	$393.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.78 / $56.52 / $66.78	Professional		$34.78	$56.52	$66.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.39 / $439.92 / $525.87	Facility		$198.39	$439.92	$525.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.11 / $65.69 / $124.93	Professional		$45.11	$65.69	$124.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $118.02 / $154.55 / $316.75	Professional		$118.02	$154.55	$316.75
United Facility/Professional Professional Modifier Low / Median / High Price $36.52 / $52.18 / $86.96	Professional		$36.52	$52.18	$86.96
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $79.31 / $87.25 / $111.05	Professional		$79.31	$87.25	$111.05