Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.36 / $237.84 / $424.72	Facility		$212.36	$237.84	$424.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $213.84	Professional		$213.84	$213.84	$213.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.88 / $384.91 / $970.06	Facility		$254.88	$384.91	$970.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.36 / $213.84 / $213.84	Professional		$212.36	$213.84	$213.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.74 / $213.84 / $213.84	Facility		$201.74	$213.84	$213.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $213.84	Professional		$213.84	$213.84	$213.84
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $224.36 / $347.28 / $660.02	Professional		$224.36	$347.28	$660.02
United Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $213.84	Professional		$213.84	$213.84	$213.84
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $198.90 / $218.79 / $278.45	Professional		$198.90	$218.79	$278.45