Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.00 / $415.29 / $1,181.25	Facility		$189.00	$415.29	$1,181.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.46 / $58.46 / $131.63	Professional		$58.46	$58.46	$131.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $277.58 / $326.67 / $840.26	Facility		$277.58	$326.67	$840.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.50 / $109.68 / $109.69	Professional		$67.50	$109.68	$109.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.18 / $637.74 / $728.79	Facility		$312.18	$637.74	$728.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.42 / $329.47 / $700.71	Professional		$87.42	$329.47	$700.71
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $168.75 / $244.92 / $555.88	Professional		$168.75	$244.92	$555.88
United Facility/Professional Professional Modifier Low / Median / High Price $70.88 / $101.25 / $168.75	Professional		$70.88	$101.25	$168.75
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $138.61 / $176.41 / $3,375.00	Professional		$138.61	$176.41	$3,375.00