Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.78 / $217.06 / $617.40	Facility		$98.78	$217.06	$617.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.68 / $49.68 / $68.80	Professional		$49.68	$49.68	$68.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.09 / $170.74 / $439.17	Facility		$145.09	$170.74	$439.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.28 / $57.33 / $57.33	Professional		$35.28	$57.33	$57.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.16 / $333.32 / $380.71	Facility		$163.16	$333.32	$380.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.64 / $172.09 / $366.00	Professional		$45.64	$172.09	$366.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $88.20 / $128.01 / $290.54	Professional		$88.20	$128.01	$290.54
United Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $52.92 / $52.92	Professional		$37.04	$52.92	$52.92
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $92.20 / $3,375.00	Professional		$72.45	$92.20	$3,375.00