Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $400.00 / $430.00	Professional		$390.00	$400.00	$430.00
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 $42.34 / $42.34 / $73.03	Professional		$42.34	$42.34	$73.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.22 / $516.79 / $689.82	Facility		$177.22	$516.79	$689.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.01 / $280.01 / $350.02	Professional		$280.01	$280.01	$350.02
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