Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.14 / $174.82 / $874.09	Facility		$101.14	$174.82	$874.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.41 / $87.41 / $101.14	Professional		$87.41	$87.41	$101.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.41 / $241.72 / $621.77	Facility		$205.41	$241.72	$621.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $81.16 / $81.17	Professional		$49.95	$81.16	$81.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.01 / $471.92 / $539.21	Facility		$231.01	$471.92	$539.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.59 / $193.49 / $518.39	Professional		$64.59	$193.49	$518.39
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $124.87 / $181.24 / $411.33	Professional		$124.87	$181.24	$411.33
United Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $74.92 / $125.74	Professional		$52.45	$74.92	$125.74
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $92.26 / $124.55 / $3,000.00	Professional		$92.26	$124.55	$3,000.00