Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.21 / $262.55 / $575.12	Facility		$163.21	$262.55	$575.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.30 / $163.22 / $253.82	Professional		$119.30	$163.22	$253.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $289.86 / $289.86 / $343.60	Facility		$289.86	$289.86	$343.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.35 / $159.35 / $169.30	Professional		$159.35	$159.35	$169.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $175.00 / $175.00	Facility		$175.00	$175.00	$175.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.75 / $175.00 / $236.81	Professional		$127.75	$175.00	$236.81
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $234.69 / $234.69 / $724.37	Professional		$234.69	$234.69	$724.37
United Facility/Professional Professional Modifier Low / Median / High Price $96.41 / $144.61 / $202.54	Professional		$96.41	$144.61	$202.54
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $217.10 / $254.92 / $382.96	Professional		$217.10	$254.92	$382.96