Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.06 / $235.00 / $742.98	Facility		$122.06	$235.00	$742.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.33 / $73.39 / $73.39	Professional		$61.33	$73.39	$73.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.60 / $205.47 / $479.75	Facility		$174.60	$205.47	$479.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $68.98 / $81.51	Professional		$42.46	$68.98	$81.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $242.15 / $436.33 / $458.40	Facility		$242.15	$436.33	$458.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.34 / $54.94 / $152.29	Professional		$46.34	$54.94	$152.29
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $144.05 / $188.63 / $377.64	Professional		$144.05	$188.63	$377.64
United Facility/Professional Professional Modifier Low / Median / High Price $44.58 / $63.68 / $106.14	Professional		$44.58	$63.68	$106.14
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $78.42 / $91.59 / $138.33	Professional		$78.42	$91.59	$138.33