Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $840.00 / $1,845.75 / $5,250.00	Facility		$840.00	$1,845.75	$5,250.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $525.00 / $607.50 / $607.50	Professional		$525.00	$607.50	$607.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,233.75 / $1,371.00 / $2,925.00	Facility		$1,233.75	$1,371.00	$2,925.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $487.50 / $576.00	Professional		$300.00	$487.50	$576.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,354.28 / $2,741.21 / $3,290.14	Facility		$1,354.28	$2,741.21	$3,290.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $861.93 / $861.93 / $1,077.41	Professional		$861.93	$861.93	$1,077.41
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,017.90 / $1,332.90 / $2,668.42	Professional		$1,017.90	$1,332.90	$2,668.42
United Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $450.00 / $450.00	Professional		$315.00	$450.00	$450.00
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