Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $302.00	Facility		$251.19	$251.19	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $346.74	Professional		$194.98	$245.47	$346.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $478.63 / $549.54	Facility		$457.09	$478.63	$549.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $323.59	Facility		$281.84	$281.84	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $281.84	Professional		$204.17	$204.17	$281.84
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $676.08	Professional		$389.05	$389.05	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $269.15 / $302.00	Facility		$125.89	$269.15	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $234.42 / $389.05	Professional		$173.78	$234.42	$389.05
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $630.96	Facility		$398.11	$398.11	$630.96