Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $254.00 / $330.00	Professional		$240.00	$254.00	$330.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.86 / $90.96 / $194.06	Facility		$81.86	$90.96	$194.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $400.00 / $690.00	Professional		$400.00	$400.00	$690.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.75 / $178.83 / $213.53	Facility		$92.75	$178.83	$213.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.00 / $254.00 / $317.49	Professional		$254.00	$254.00	$317.49
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $90.02 / $158.05 / $250.11	Professional		$90.02	$158.05	$250.11
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