Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.00 / $1,784.22 / $5,075.00	Facility		$812.00	$1,784.22	$5,075.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $507.50 / $507.50 / $587.25	Professional		$507.50	$507.50	$587.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,192.63 / $1,325.30 / $2,827.50	Facility		$1,192.63	$1,325.30	$2,827.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.00 / $471.25 / $471.25	Professional		$290.00	$471.25	$471.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,309.13 / $2,650.23 / $3,180.47	Facility		$1,309.13	$2,650.23	$3,180.47
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $725.00 / $983.97 / $2,237.71	Professional		$725.00	$983.97	$2,237.71
United Facility/Professional Professional Modifier Low / Median / High Price $304.50 / $435.00 / $435.00	Professional		$304.50	$435.00	$435.00
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