Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.72 / $142.72 / $171.26	Facility		$142.72	$142.72	$171.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.31 / $110.75 / $153.85	Professional		$104.31	$110.75	$153.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $253.46 / $253.46 / $300.45	Facility		$253.46	$253.46	$300.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.85 / $135.85 / $148.04	Professional		$135.85	$135.85	$148.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $168.00 / $168.00	Facility		$168.00	$168.00	$168.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.64 / $122.64 / $168.00	Professional		$122.64	$122.64	$168.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $205.22 / $205.22 / $633.41	Professional		$205.22	$205.22	$633.41
United Facility/Professional Professional Modifier Low / Median / High Price $84.30 / $126.45 / $205.22	Professional		$84.30	$126.45	$205.22
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $165.60 / $182.16 / $231.84	Professional		$165.60	$182.16	$231.84