Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.42 / $190.42 / $228.50	Facility		$190.42	$190.42	$228.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.29 / $147.76 / $192.73	Professional		$123.29	$147.76	$192.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.18 / $338.18 / $400.88	Facility		$338.18	$338.18	$400.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.87 / $155.87 / $163.32	Professional		$155.87	$155.87	$163.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.91 / $159.91 / $159.91	Facility		$159.91	$159.91	$159.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.74 / $116.74 / $159.91	Professional		$116.74	$116.74	$159.91
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $273.81 / $273.81 / $845.11	Professional		$273.81	$273.81	$845.11
United Facility/Professional Professional Modifier Low / Median / High Price $112.48 / $168.71 / $200.33	Professional		$112.48	$168.71	$200.33
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $253.28 / $278.61 / $354.59	Professional		$253.28	$278.61	$354.59