Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $514.17 / $514.17 / $514.17	Facility		$514.17	$514.17	$514.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $11.64 / $16.70	Professional		$11.23	$11.64	$16.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.37 / $272.66 / $581.72	Facility		$245.37	$272.66	$581.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $8.35 / $8.35	Professional		$8.35	$8.35	$8.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.30 / $60.54 / $87.29	Facility		$1.30	$60.54	$87.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $15.11 / $52.32	Professional		$6.04	$15.11	$52.32
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $15.92 / $44.69	Professional		$15.92	$15.92	$44.69
United Facility/Professional Professional Modifier Low / Median / High Price $6.07 / $12.86 / $15.92	Professional		$6.07	$12.86	$15.92
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