Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.10 / $226.10 / $271.32	Facility		$226.10	$226.10	$271.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.95 / $175.45 / $226.10	Professional		$123.95	$175.45	$226.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $401.56 / $401.56 / $476.01	Facility		$401.56	$401.56	$476.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.43 / $183.43 / $192.20	Professional		$183.43	$183.43	$192.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.19 / $188.19 / $188.19	Facility		$188.19	$188.19	$188.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $137.38 / $200.62	Professional		$137.38	$137.38	$200.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $325.13 / $325.13 / $1,003.51	Professional		$325.13	$325.13	$1,003.51
United Facility/Professional Professional Modifier Low / Median / High Price $133.56 / $200.33 / $237.87	Professional		$133.56	$200.33	$237.87
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $300.75 / $330.83 / $421.05	Professional		$300.75	$330.83	$421.05