Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $275.42	Facility		$229.09	$229.09	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $204.17 / $338.84	Professional		$177.83	$204.17	$338.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $436.52 / $501.19	Facility		$416.87	$436.52	$501.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $257.04	Professional		$251.19	$251.19	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $269.15	Professional		$194.98	$194.98	$269.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $616.60	Professional		$354.81	$354.81	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $251.19 / $275.42	Facility		$114.82	$251.19	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $354.81	Professional		$158.49	$213.80	$354.81
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $575.44	Facility		$363.08	$363.08	$575.44