Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $500.00 / $500.00	Professional		$315.00	$500.00	$500.00
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 $108.00 / $108.00 / $186.30	Professional		$108.00	$108.00	$186.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.75 / $178.83 / $219.95	Facility		$92.75	$178.83	$219.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $109.45 / $136.81	Professional		$109.45	$109.45	$136.81
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