Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.09 / $1,439.44 / $4,094.30	Facility		$655.09	$1,439.44	$4,094.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.43 / $409.43 / $473.77	Professional		$409.43	$409.43	$473.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $962.16 / $1,069.20 / $2,281.11	Facility		$962.16	$1,069.20	$2,281.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.96 / $380.18 / $380.19	Professional		$233.96	$380.18	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,056.17 / $2,137.90 / $2,565.90	Facility		$1,056.17	$2,137.90	$2,565.90
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $609.52 / $1,039.48 / $1,926.72	Professional		$609.52	$1,039.48	$1,926.72
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $350.94 / $584.90	Professional		$245.66	$350.94	$584.90
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