Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.08 / $575.87 / $1,638.00	Facility		$262.08	$575.87	$1,638.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.93 / $82.93 / $182.52	Professional		$82.93	$82.93	$182.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $384.93 / $452.98 / $1,165.16	Facility		$384.93	$452.98	$1,165.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.60 / $152.10 / $152.10	Professional		$93.60	$152.10	$152.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.88 / $884.31 / $1,010.04	Facility		$432.88	$884.31	$1,010.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.30 / $457.42 / $972.82	Professional		$121.30	$457.42	$972.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $339.63 / $770.82	Professional		$234.00	$339.63	$770.82
United Facility/Professional Professional Modifier Low / Median / High Price $98.28 / $140.40 / $140.40	Professional		$98.28	$140.40	$140.40
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $192.20 / $244.62 / $3,375.00	Professional		$192.20	$244.62	$3,375.00