Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.88 / $189.88 / $227.86	Facility		$189.88	$189.88	$227.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.79 / $147.34 / $189.88	Professional		$138.79	$147.34	$189.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.23 / $337.23 / $399.75	Facility		$337.23	$337.23	$399.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.58 / $186.58 / $197.01	Professional		$186.58	$186.58	$197.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.91 / $192.91 / $192.91	Facility		$192.91	$192.91	$192.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.82 / $140.82 / $192.91	Professional		$140.82	$140.82	$192.91
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $273.04 / $273.04 / $842.74	Professional		$273.04	$273.04	$842.74
United Facility/Professional Professional Modifier Low / Median / High Price $112.16 / $168.24 / $201.74	Professional		$112.16	$168.24	$201.74
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $220.33 / $242.36 / $308.45	Professional		$220.33	$242.36	$308.45