Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $234.42	Facility		$194.98	$194.98	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $194.98 / $302.00	Professional		$138.04	$194.98	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $371.54 / $426.58	Facility		$354.81	$371.54	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $190.55	Professional		$186.21	$186.21	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $263.03 / $263.03	Facility		$251.19	$263.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $263.03	Professional		$194.98	$194.98	$263.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $524.81	Professional		$302.00	$302.00	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $208.93 / $229.09	Facility		$95.50	$208.93	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $186.21 / $302.00	Professional		$134.90	$186.21	$302.00
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $489.78	Facility		$309.03	$309.03	$489.78