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 $419.44 / $419.44 / $468.00	Professional		$419.44	$419.44	$468.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $987.00 / $1,161.48 / $2,987.58	Facility		$987.00	$1,161.48	$2,987.58
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 $1,109.94 / $2,383.42 / $2,603.21	Facility		$1,109.94	$2,383.42	$2,603.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.87 / $1,172.02 / $2,492.61	Professional		$310.87	$1,172.02	$2,492.61
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $870.84 / $1,976.46	Professional		$600.00	$870.84	$1,976.46
United Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $360.00 / $360.42	Professional		$252.00	$360.00	$360.42
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $443.32 / $598.48 / $3,000.00	Professional		$443.32	$598.48	$3,000.00