Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.75 / $231.75 / $231.75	Professional		$231.75	$231.75	$231.75
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 $150.00 / $150.00 / $258.75	Professional		$150.00	$150.00	$258.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.54 / $178.83 / $213.53	Facility		$90.54	$178.83	$213.53
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $75.65 / $158.05 / $249.79	Professional		$75.65	$158.05	$249.79
United Facility/Professional Professional Modifier Low / Median / High Price $47.75 / $166.26 / $250.11	Professional		$47.75	$166.26	$250.11
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,750.00 / $3,500.00	Professional		$2,500.00	$2,750.00	$3,500.00