Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.36 / $290.36 / $348.43	Facility		$290.36	$290.36	$348.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.83 / $232.50 / $314.41	Professional		$186.83	$232.50	$314.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $515.66 / $515.66 / $611.28	Facility		$515.66	$515.66	$611.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.41 / $254.41 / $266.98	Professional		$254.41	$254.41	$266.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.86 / $360.86 / $360.86	Facility		$360.86	$360.86	$360.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.43 / $263.43 / $379.03	Professional		$263.43	$263.43	$379.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $417.51 / $417.51 / $1,288.64	Professional		$417.51	$417.51	$1,288.64
United Facility/Professional Professional Modifier Low / Median / High Price $171.51 / $257.26 / $314.41	Professional		$171.51	$257.26	$314.41
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $386.23 / $424.85 / $540.72	Professional		$386.23	$424.85	$540.72