Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.41 / $225.41 / $270.49	Facility		$225.41	$225.41	$270.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.91 / $178.52 / $242.98	Professional		$174.91	$178.52	$242.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $400.31 / $400.31 / $474.53	Facility		$400.31	$400.31	$474.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.52 / $242.52 / $255.46	Professional		$242.52	$242.52	$255.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.60 / $252.60 / $252.60	Facility		$252.60	$252.60	$252.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.40 / $184.40 / $252.60	Professional		$184.40	$184.40	$252.60
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $324.12 / $324.12 / $1,000.40	Professional		$324.12	$324.12	$1,000.40
United Facility/Professional Professional Modifier Low / Median / High Price $133.13 / $199.71 / $237.13	Professional		$133.13	$199.71	$237.13
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $299.82 / $329.80 / $419.75	Professional		$299.82	$329.80	$419.75