Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.56 / $385.76 / $1,097.25	Facility		$175.56	$385.76	$1,097.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.73 / $109.73 / $126.97	Professional		$109.73	$109.73	$126.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.85 / $286.54 / $611.33	Facility		$257.85	$286.54	$611.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.70 / $101.88 / $101.89	Professional		$62.70	$101.88	$101.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.05 / $573.38 / $687.66	Facility		$283.05	$573.38	$687.66
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $156.75 / $212.74 / $483.81	Professional		$156.75	$212.74	$483.81
United Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $94.05 / $156.75	Professional		$65.84	$94.05	$156.75
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