Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.42 / $455.78 / $1,296.40	Facility		$207.42	$455.78	$1,296.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $129.63 / $150.01	Professional		$129.63	$129.63	$150.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $304.64 / $338.55 / $722.28	Facility		$304.64	$338.55	$722.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.08 / $120.38 / $228.90	Professional		$74.08	$120.38	$228.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.42 / $677.52 / $812.44	Facility		$334.42	$677.52	$812.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $268.80 / $610.07	Professional		$185.20	$268.80	$610.07
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $111.12 / $185.20	Professional		$77.78	$111.12	$185.20
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