Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $325.00 / $362.81	Professional		$225.00	$325.00	$362.81
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 $500.00 / $500.00 / $862.50	Professional		$500.00	$500.00	$862.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.72 / $516.79 / $669.68	Facility		$171.72	$516.79	$669.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.49 / $104.49 / $130.61	Professional		$104.49	$104.49	$130.61
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $180.53 / $423.60 / $651.00	Professional		$180.53	$423.60	$651.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,750.00 / $3,000.00 / $4,735.00	Professional		$2,750.00	$3,000.00	$4,735.00