Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.89 / $239.26 / $680.54	Facility		$108.89	$239.26	$680.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.83 / $83.30 / $83.30	Professional		$75.83	$83.30	$83.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.93 / $188.20 / $484.09	Facility		$159.93	$188.20	$484.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.89 / $63.19 / $63.19	Professional		$38.89	$63.19	$63.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.84 / $367.39 / $419.56	Facility		$179.84	$367.39	$419.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.38 / $190.01 / $404.10	Professional		$50.38	$190.01	$404.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $97.22 / $141.11 / $320.25	Professional		$97.22	$141.11	$320.25
United Facility/Professional Professional Modifier Low / Median / High Price $40.83 / $58.33 / $97.22	Professional		$40.83	$58.33	$97.22
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $79.84 / $101.63 / $3,375.00	Professional		$79.84	$101.63	$3,375.00