Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.19 / $299.33 / $851.41	Facility		$134.19	$299.33	$851.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.87 / $115.98 / $134.19	Professional		$94.87	$115.98	$134.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.08 / $235.45 / $605.63	Facility		$200.08	$235.45	$605.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.65 / $79.05 / $79.06	Professional		$48.65	$79.05	$79.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $459.65 / $628.53	Facility		$225.00	$459.65	$628.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.02 / $237.35 / $504.78	Professional		$63.02	$237.35	$504.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $121.63 / $176.53 / $432.75	Professional		$121.63	$176.53	$432.75
United Facility/Professional Professional Modifier Low / Median / High Price $51.08 / $72.98 / $99.41	Professional		$51.08	$72.98	$99.41
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $110.95 / $149.78 / $3,000.00	Professional		$110.95	$149.78	$3,000.00