Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.00 / $492.20 / $1,400.00	Facility		$224.00	$492.20	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $128.00 / $156.00	Professional		$128.00	$128.00	$156.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $329.00 / $365.60 / $780.00	Facility		$329.00	$365.60	$780.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $130.00 / $130.00	Professional		$80.00	$130.00	$130.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $361.14 / $731.39 / $877.37	Facility		$361.14	$731.39	$877.37
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $290.27 / $658.82	Professional		$200.00	$290.27	$658.82
United Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $120.00 / $200.00	Professional		$84.00	$120.00	$200.00
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