Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.98 / $235.08 / $668.64	Facility		$106.98	$235.08	$668.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.36 / $89.25 / $89.25	Professional		$76.36	$89.25	$89.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.13 / $184.91 / $431.75	Facility		$157.13	$184.91	$431.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.21 / $62.08 / $73.34	Professional		$38.21	$62.08	$73.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.71 / $408.92 / $430.43	Facility		$176.71	$408.92	$430.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.50 / $58.07 / $137.32	Professional		$49.50	$58.07	$137.32
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $169.76 / $339.85	Professional		$129.63	$169.76	$339.85
United Facility/Professional Professional Modifier Low / Median / High Price $38.21 / $57.31 / $66.11	Professional		$38.21	$57.31	$66.11
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $73.65 / $99.43 / $3,000.00	Professional		$73.65	$99.43	$3,000.00