Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $672.00 / $1,476.60 / $4,200.00	Facility		$672.00	$1,476.60	$4,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.00 / $420.00 / $486.00	Professional		$420.00	$420.00	$486.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $987.00 / $1,096.80 / $2,340.00	Facility		$987.00	$1,096.80	$2,340.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $390.00 / $390.00	Professional		$240.00	$390.00	$390.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,083.42 / $2,192.96 / $2,632.11	Facility		$1,083.42	$2,192.96	$2,632.11
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $625.26 / $1,066.32 / $1,976.46	Professional		$625.26	$1,066.32	$1,976.46
United Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $360.00 / $660.00	Professional		$252.00	$360.00	$660.00
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