Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.90 / $475.78 / $912.45	Facility		$149.90	$475.78	$912.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.67 / $124.17 / $148.57	Professional		$101.67	$124.17	$148.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $214.43 / $252.33 / $649.04	Facility		$214.43	$252.33	$649.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.14 / $84.72 / $84.73	Professional		$52.14	$84.72	$84.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.14 / $571.84 / $910.68	Facility		$241.14	$571.84	$910.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.58 / $254.62 / $541.52	Professional		$67.58	$254.62	$541.52
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $130.35 / $189.19 / $463.77	Professional		$130.35	$189.19	$463.77
United Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $78.20 / $164.92	Professional		$54.75	$78.20	$164.92
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $118.90 / $147.44 / $209.74	Professional		$118.90	$147.44	$209.74