Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.45 / $493.10 / $1,159.27	Facility		$190.45	$493.10	$1,159.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $153.97 / $153.97	Professional		$128.69	$153.97	$153.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $272.43 / $320.58 / $748.56	Facility		$272.43	$320.58	$748.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $107.64 / $127.18	Professional		$66.23	$107.64	$127.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $377.85 / $696.82 / $875.91	Facility		$377.85	$696.82	$875.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.84 / $99.36 / $237.99	Professional		$85.84	$99.36	$237.99
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $224.77 / $294.32 / $589.22	Professional		$224.77	$294.32	$589.22
United Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $99.37 / $113.24	Professional		$66.23	$99.37	$113.24
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $123.23 / $135.55 / $172.52	Professional		$123.23	$135.55	$172.52