Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.32 / $1,002.69 / $2,852.01	Facility		$456.32	$1,002.69	$2,852.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.56 / $172.56 / $199.68	Professional		$172.56	$172.56	$199.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $670.22 / $744.78 / $1,588.98	Facility		$670.22	$744.78	$1,588.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.10 / $264.82 / $264.83	Professional		$225.10	$264.82	$264.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $735.70 / $1,489.11 / $1,787.34	Facility		$735.70	$1,489.11	$1,787.34
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $407.43 / $591.34 / $1,257.53	Professional		$407.43	$591.34	$1,257.53
United Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $147.91 / $311.89	Professional		$103.54	$147.91	$311.89
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,750.00 / $3,500.00	Professional		$2,500.00	$2,750.00	$3,500.00