Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.81 / $339.30 / $565.15	Facility		$219.81	$339.30	$565.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.81 / $219.82 / $219.82	Professional		$219.81	$219.82	$219.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.64 / $323.27 / $887.00	Facility		$257.64	$323.27	$887.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.82 / $219.82 / $219.82	Professional		$219.82	$219.82	$219.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.37 / $241.37 / $241.37	Facility		$241.37	$241.37	$241.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.37 / $241.37 / $241.37	Professional		$241.37	$241.37	$241.37
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $230.64 / $356.99 / $678.47	Professional		$230.64	$356.99	$678.47
United Facility/Professional Professional Modifier Low / Median / High Price $28.53 / $215.51 / $258.61	Professional		$28.53	$215.51	$258.61
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $192.50 / $240.80 / $3,000.00	Professional		$192.50	$240.80	$3,000.00