Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.63 / $269.45 / $766.43	Facility		$122.63	$269.45	$766.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.54 / $98.54 / $98.54	Professional		$98.54	$98.54	$98.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.11 / $211.95 / $494.89	Facility		$180.11	$211.95	$494.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.80 / $71.16 / $84.08	Professional		$43.80	$71.16	$84.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $249.81 / $457.52 / $480.33	Facility		$249.81	$457.52	$480.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.70 / $57.88 / $156.94	Professional		$56.70	$57.88	$156.94
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $148.60 / $194.59 / $389.55	Professional		$148.60	$194.59	$389.55
United Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $65.69 / $65.69	Professional		$28.35	$65.69	$65.69
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $41.33 / $93.04 / $142.71	Professional		$41.33	$93.04	$142.71