Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.28 / $923.49 / $2,626.75	Facility		$420.28	$923.49	$2,626.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.68 / $262.68 / $303.95	Professional		$262.68	$262.68	$303.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $617.29 / $685.96 / $1,463.48	Facility		$617.29	$685.96	$1,463.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.10 / $243.91 / $243.91	Professional		$150.10	$243.91	$243.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $677.58 / $1,371.80 / $1,646.15	Facility		$677.58	$1,371.80	$1,646.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $375.25 / $544.64 / $1,236.10	Professional		$375.25	$544.64	$1,236.10
United Facility/Professional Professional Modifier Low / Median / High Price $157.61 / $225.15 / $375.25	Professional		$157.61	$225.15	$375.25
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