Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.33 / $633.58 / $1,802.15	Facility		$288.33	$633.58	$1,802.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $78.37 / $200.81	Professional		$78.37	$78.37	$200.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $423.51 / $498.37 / $1,281.92	Facility		$423.51	$498.37	$1,281.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.98 / $167.34 / $167.34	Professional		$102.98	$167.34	$167.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $476.25 / $1,096.41 / $1,372.11	Facility		$476.25	$1,096.41	$1,372.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.41 / $502.84 / $1,069.43	Professional		$133.41	$502.84	$1,069.43
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $257.45 / $373.66 / $915.98	Professional		$257.45	$373.66	$915.98
United Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $154.47 / $257.45	Professional		$67.84	$154.47	$257.45
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $234.84 / $258.32 / $328.78	Professional		$234.84	$258.32	$328.78