Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $1,186.55 / $3,374.98	Facility		$540.00	$1,186.55	$3,374.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.12 / $145.12 / $167.92	Professional		$145.12	$145.12	$167.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $793.12 / $881.35 / $1,880.35	Facility		$793.12	$881.35	$1,880.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.86 / $313.39 / $313.39	Professional		$192.86	$313.39	$313.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.60 / $1,762.03 / $2,115.07	Facility		$870.60	$1,762.03	$2,115.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $482.14 / $699.78 / $1,647.54	Professional		$482.14	$699.78	$1,647.54
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $124.39 / $482.14	Professional		$87.07	$124.39	$482.14
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