Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.57 / $386.10 / $1,502.34	Facility		$86.57	$386.10	$1,502.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.58 / $153.22 / $167.40	Professional		$86.58	$153.22	$167.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $353.05 / $415.46 / $1,068.66	Facility		$353.05	$415.46	$1,068.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.85 / $139.50 / $139.50	Professional		$85.85	$139.50	$139.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $397.02 / $852.14 / $941.49	Facility		$397.02	$852.14	$941.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.11 / $419.04 / $891.19	Professional		$111.11	$419.04	$891.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $214.62 / $311.50 / $706.98	Professional		$214.62	$311.50	$706.98
United Facility/Professional Professional Modifier Low / Median / High Price $90.14 / $128.77 / $219.43	Professional		$90.14	$128.77	$219.43
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $158.57 / $190.74 / $279.72	Professional		$158.57	$190.74	$279.72