Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.86 / $656.18 / $1,319.99	Facility		$216.86	$656.18	$1,319.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.08 / $171.25 / $204.91	Professional		$147.08	$171.25	$204.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $310.20 / $365.03 / $938.95	Facility		$310.20	$365.03	$938.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.43 / $122.57 / $122.57	Professional		$75.43	$122.57	$122.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $348.83 / $827.22 / $1,256.80	Facility		$348.83	$827.22	$1,256.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.60 / $316.00 / $783.70	Professional		$97.60	$316.00	$783.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $197.00 / $359.26 / $670.91	Professional		$197.00	$359.26	$670.91
United Facility/Professional Professional Modifier Low / Median / High Price $113.14 / $188.57 / $251.17	Professional		$113.14	$188.57	$251.17
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $163.99 / $213.19 / $310.60	Professional		$163.99	$213.19	$310.60