Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.00 / $455.00 / $455.00	Professional		$455.00	$455.00	$455.00
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 $42.34 / $42.34 / $73.03	Professional		$42.34	$42.34	$73.03
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 $2.48 / $2.48 / $3.10	Professional		$2.48	$2.48	$3.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $69.97 / $149.21 / $229.31	Professional		$69.97	$149.21	$229.31
United Facility/Professional Professional Modifier Low / Median / High Price $174.77 / $174.77 / $174.77	Professional		$174.77	$174.77	$174.77
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