Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $130.00 / $130.00	Facility		$130.00	$130.00	$130.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $130.00 / $130.00	Professional		$105.00	$130.00	$130.00
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 $125.00 / $125.00 / $125.00	Professional		$125.00	$125.00	$125.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $516.79 / $669.68	Facility		$52.48	$516.79	$669.68
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $96.94 / $423.60 / $651.00	Professional		$96.94	$423.60	$651.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,750.00 / $3,000.00 / $4,410.00	Professional		$2,750.00	$3,000.00	$4,410.00