Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $500.00 / $720.00	Professional		$475.00	$500.00	$720.00
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 $900.00 / $900.00 / $1,552.50	Professional		$900.00	$900.00	$1,552.50
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 $519.54 / $519.54 / $649.44	Professional		$519.54	$519.54	$649.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $180.53 / $423.60 / $651.00	Professional		$180.53	$423.60	$651.00
United Facility/Professional Professional Modifier Low / Median / High Price $472.01 / $472.01 / $496.16	Professional		$472.01	$472.01	$496.16
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $3,000.00 / $4,410.00	Professional		$2,500.00	$3,000.00	$4,410.00