Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.52 / $304.38 / $865.76	Facility		$138.52	$304.38	$865.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.95 / $117.82 / $117.82	Professional		$95.95	$117.82	$117.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.45 / $239.42 / $615.84	Facility		$203.45	$239.42	$615.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.47 / $80.39 / $80.39	Professional		$49.47	$80.39	$80.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.79 / $526.72 / $658.86	Facility		$228.79	$526.72	$658.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.06 / $241.83 / $514.29	Professional		$64.06	$241.83	$514.29
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $123.68 / $179.51 / $440.04	Professional		$123.68	$179.51	$440.04
United Facility/Professional Professional Modifier Low / Median / High Price $51.95 / $74.20 / $169.66	Professional		$51.95	$74.20	$169.66
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $112.82 / $139.90 / $199.01	Professional		$112.82	$139.90	$199.01