Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.92 / $340.77 / $1,074.50	Facility		$171.92	$340.77	$1,074.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $175.00 / $175.00	Professional		$175.00	$175.00	$175.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.51 / $297.14 / $693.82	Facility		$252.51	$297.14	$693.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.40 / $99.77 / $112.66	Professional		$61.40	$99.77	$112.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.19 / $628.87 / $661.97	Facility		$277.19	$628.87	$661.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.52 / $89.80 / $220.96	Professional		$79.52	$89.80	$220.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $208.33 / $272.80 / $546.14	Professional		$208.33	$272.80	$546.14
United Facility/Professional Professional Modifier Low / Median / High Price $64.47 / $92.10 / $153.50	Professional		$64.47	$92.10	$153.50
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $126.08 / $157.72 / $3,000.00	Professional		$126.08	$157.72	$3,000.00