Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.72 / $481.80 / $1,465.24	Facility		$240.72	$481.80	$1,465.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.71 / $150.41 / $150.41	Professional		$125.71	$150.41	$150.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $344.33 / $405.20 / $946.13	Facility		$344.33	$405.20	$946.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.73 / $136.05 / $160.75	Professional		$83.73	$136.05	$160.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $477.57 / $830.70 / $902.82	Facility		$477.57	$830.70	$902.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.49 / $108.48 / $300.45	Professional		$99.49	$108.48	$300.45
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $284.08 / $372.00 / $744.74	Professional		$284.08	$372.00	$744.74
United Facility/Professional Professional Modifier Low / Median / High Price $87.91 / $125.59 / $125.59	Professional		$87.91	$125.59	$125.59
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $154.66 / $170.13 / $216.52	Professional		$154.66	$170.13	$216.52