Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.43 / $293.25 / $562.59	Facility		$92.43	$293.25	$562.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.53 / $91.59 / $91.59	Professional		$76.53	$91.59	$91.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.21 / $155.58 / $363.27	Facility		$132.21	$155.58	$363.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $52.24 / $61.72	Professional		$32.15	$52.24	$61.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.46 / $148.68 / $498.19	Facility		$138.46	$148.68	$498.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.60 / $60.21 / $115.12	Professional		$41.60	$60.21	$115.12
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $92.30 / $133.82 / $248.06	Professional		$92.30	$133.82	$248.06
United Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $48.22 / $67.34	Professional		$32.15	$48.22	$67.34
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $24.44 / $26.88 / $34.22	Professional		$24.44	$26.88	$34.22