Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.41 / $936.95 / $2,665.04	Facility		$426.41	$936.95	$2,665.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.50 / $308.38 / $308.38	Professional		$266.50	$308.38	$308.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $626.28 / $695.96 / $1,484.81	Facility		$626.28	$695.96	$1,484.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.23 / $247.46 / $336.26	Professional		$232.23	$247.46	$336.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $687.47 / $1,392.15 / $1,670.18	Facility		$687.47	$1,392.15	$1,670.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.37 / $437.37 / $546.71	Professional		$437.37	$437.37	$546.71
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $516.71 / $633.90 / $1,254.13	Professional		$516.71	$633.90	$1,254.13
United Facility/Professional Professional Modifier Low / Median / High Price $159.90 / $228.43 / $228.43	Professional		$159.90	$228.43	$228.43
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