Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.59 / $363.83 / $442.67	Facility		$254.59	$363.83	$442.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.71 / $197.55 / $274.44	Professional		$164.71	$197.55	$274.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $452.13 / $452.13 / $535.95	Facility		$452.13	$452.13	$535.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.05 / $221.05 / $232.96	Professional		$221.05	$221.05	$232.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.36 / $233.36 / $233.36	Facility		$233.36	$233.36	$233.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.35 / $233.36 / $330.06	Professional		$170.35	$233.36	$330.06
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $366.07 / $366.07 / $1,129.88	Professional		$366.07	$366.07	$1,129.88
United Facility/Professional Professional Modifier Low / Median / High Price $150.38 / $182.12 / $225.56	Professional		$150.38	$182.12	$225.56
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $236.11 / $389.44 / $597.36	Professional		$236.11	$389.44	$597.36