Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $234.42	Facility		$194.98	$194.98	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $165.96 / $467.74	Professional		$120.23	$165.96	$467.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $371.54 / $426.58	Facility		$354.81	$371.54	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $162.18	Professional		$158.49	$158.49	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $251.19	Facility		$190.55	$190.55	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $190.55	Professional		$138.04	$138.04	$190.55
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $524.81	Professional		$302.00	$302.00	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $134.90 / $151.36	Facility		$79.43	$134.90	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $173.78 / $302.00	Professional		$114.82	$173.78	$302.00
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $426.58	Facility		$269.15	$269.15	$426.58