Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.52 / $310.22 / $318.11	Facility		$258.52	$310.22	$318.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.52 / $258.64 / $289.54	Professional		$258.52	$258.64	$289.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $304.99 / $403.48 / $1,064.51	Facility		$304.99	$403.48	$1,064.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $258.64 / $258.64	Professional		$258.64	$258.64	$258.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $258.64 / $258.64	Facility		$244.00	$258.64	$258.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $258.64 / $258.64	Professional		$258.64	$258.64	$258.64
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $258.64 / $433.40	Professional		$258.64	$258.64	$433.40
United Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $258.64 / $274.16	Professional		$258.64	$258.64	$274.16
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $108.89 / $133.63 / $181.05	Professional		$108.89	$133.63	$181.05