Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.59 / $194.35 / $225.65	Professional		$169.59	$194.35	$225.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.51 / $261.89 / $422.86	Professional		$255.51	$261.89	$422.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.41 / $1,071.41 / $1,906.60	Facility		$1,071.41	$1,071.41	$1,906.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Professional		$600.00	$600.00	$600.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $222.18 / $399.11 / $731.88	Professional		$222.18	$399.11	$731.88
United Facility/Professional Professional Modifier Low / Median / High Price $183.59 / $237.09 / $492.10	Professional		$183.59	$237.09	$492.10
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