Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $610.12 / $1,923.81	Facility		$175.00	$610.12	$1,923.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $175.00 / $214.37	Professional		$175.00	$175.00	$214.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $452.10 / $532.02 / $1,368.46	Facility		$452.10	$532.02	$1,368.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.93 / $178.63 / $178.64	Professional		$109.93	$178.63	$178.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.41 / $1,038.60 / $1,185.64	Facility		$508.41	$1,038.60	$1,185.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.36 / $536.75 / $1,141.54	Professional		$142.36	$536.75	$1,141.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $398.89 / $905.32	Professional		$274.83	$398.89	$905.32
United Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $164.90 / $347.71	Professional		$115.43	$164.90	$347.71
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $225.74 / $287.31 / $3,375.00	Professional		$225.74	$287.31	$3,375.00