Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.75 / $79.45 / $105.80	Professional		$67.75	$79.45	$105.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $133.00 / $133.00	Professional		$133.00	$133.00	$133.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $440.33 / $529.92 / $943.02	Facility		$440.33	$529.92	$943.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.96 / $228.17 / $337.59	Professional		$140.96	$228.17	$337.59
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $164.89 / $288.19 / $430.13	Professional		$164.89	$288.19	$430.13
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,750.00 / $3,100.00 / $4,735.00	Professional		$2,750.00	$3,100.00	$4,735.00