Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.23 / $305.27 / $1,526.42	Facility		$244.23	$305.27	$1,526.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.63 / $176.63 / $180.99	Professional		$152.63	$176.63	$180.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $358.71 / $422.12 / $985.63	Facility		$358.71	$422.12	$985.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.22 / $141.72 / $167.47	Professional		$87.22	$141.72	$167.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $393.75 / $797.22 / $956.60	Facility		$393.75	$797.22	$956.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.87 / $122.11 / $313.36	Professional		$112.87	$122.11	$313.36
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $295.95 / $387.54 / $775.84	Professional		$295.95	$387.54	$775.84
United Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $130.84 / $130.84	Professional		$91.59	$130.84	$130.84
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $161.12 / $193.34 / $3,500.00	Professional		$161.12	$193.34	$3,500.00