Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.55 / $880.13 / $2,503.41	Facility		$400.55	$880.13	$2,503.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $4.78 / $4.78	Professional		$4.78	$4.78	$4.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.29 / $653.75 / $1,394.76	Facility		$588.29	$653.75	$1,394.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.05 / $232.45 / $274.64	Professional		$143.05	$232.45	$274.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.77 / $1,307.16 / $1,568.87	Facility		$645.77	$1,307.16	$1,568.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.94 / $410.94 / $513.66	Professional		$410.94	$410.94	$513.66
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $485.38 / $635.58 / $1,272.41	Professional		$485.38	$635.58	$1,272.41
United Facility/Professional Professional Modifier Low / Median / High Price $150.19 / $214.58 / $357.63	Professional		$150.19	$214.58	$357.63
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