Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $582.40 / $1,279.72 / $3,640.00	Facility		$582.40	$1,279.72	$3,640.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.00 / $405.60 / $421.20	Professional		$364.00	$405.60	$421.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $855.40 / $1,006.62 / $2,589.23	Facility		$855.40	$1,006.62	$2,589.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $338.00 / $338.00	Professional		$208.00	$338.00	$338.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $938.96 / $1,900.89 / $2,281.16	Facility		$938.96	$1,900.89	$2,281.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.45 / $1,015.92 / $2,160.62	Professional		$269.45	$1,015.92	$2,160.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $520.00 / $754.73 / $1,712.93	Professional		$520.00	$754.73	$1,712.93
United Facility/Professional Professional Modifier Low / Median / High Price $218.40 / $312.00 / $520.00	Professional		$218.40	$312.00	$520.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $388.28 / $427.11 / $543.59	Professional		$388.28	$427.11	$543.59