Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.99 / $143.99 / $172.79	Facility		$143.99	$143.99	$172.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.04 / $111.73 / $150.31	Professional		$87.04	$111.73	$150.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $255.74 / $255.74 / $303.14	Facility		$255.74	$255.74	$303.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.68 / $119.68 / $127.64	Professional		$119.68	$119.68	$127.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.94 / $142.94 / $142.94	Facility		$142.94	$142.94	$142.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.35 / $104.35 / $147.24	Professional		$104.35	$104.35	$147.24
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $207.06 / $207.06 / $639.09	Professional		$207.06	$207.06	$639.09
United Facility/Professional Professional Modifier Low / Median / High Price $85.06 / $127.58 / $151.49	Professional		$85.06	$127.58	$151.49
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $191.53 / $210.68 / $268.14	Professional		$191.53	$210.68	$268.14