Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.81 / $676.36 / $1,923.81	Facility		$307.81	$676.36	$1,923.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.38 / $192.38 / $222.61	Professional		$192.38	$192.38	$222.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $452.10 / $502.39 / $1,071.83	Facility		$452.10	$502.39	$1,071.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.93 / $178.63 / $178.64	Professional		$109.93	$178.63	$178.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $496.26 / $1,004.31 / $1,205.64	Facility		$496.26	$1,004.31	$1,205.64
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $286.39 / $488.43 / $905.32	Professional		$286.39	$488.43	$905.32
United Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $164.90 / $343.67	Professional		$115.43	$164.90	$343.67
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