Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.93 / $108.80 / $121.86	Facility		$47.93	$108.80	$121.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.60 / $119.61 / $119.61	Professional		$119.60	$119.61	$119.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.21 / $175.92 / $482.70	Facility		$140.21	$175.92	$482.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.67 / $106.67 / $119.61	Professional		$106.67	$106.67	$119.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.35 / $131.35 / $131.35	Facility		$131.35	$131.35	$131.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.35 / $131.35 / $131.35	Professional		$131.35	$131.35	$131.35
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $162.33 / $199.15 / $369.18	Professional		$162.33	$199.15	$369.18
United Facility/Professional Professional Modifier Low / Median / High Price $117.28 / $117.28 / $140.74	Professional		$117.28	$117.28	$140.74
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $110.85 / $170.03	Professional		$67.84	$110.85	$170.03