Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.57 / $321.54 / $1,162.86	Facility		$86.57	$321.54	$1,162.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.58 / $137.97 / $137.97	Professional		$86.58	$137.97	$137.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $238.26 / $280.38 / $721.20	Facility		$238.26	$280.38	$721.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.94 / $94.14 / $94.15	Professional		$57.94	$94.14	$94.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.95 / $616.87 / $772.30	Facility		$267.95	$616.87	$772.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $282.77 / $601.38	Professional		$74.95	$282.77	$601.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $144.84 / $210.22 / $515.33	Professional		$144.84	$210.22	$515.33
United Facility/Professional Professional Modifier Low / Median / High Price $60.83 / $86.90 / $144.84	Professional		$60.83	$86.90	$144.84
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $132.12 / $163.83 / $233.06	Professional		$132.12	$163.83	$233.06