Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $152.25 / $152.25	Professional		$119.00	$152.25	$152.25
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 $350.00 / $350.00 / $603.75	Professional		$350.00	$350.00	$603.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.22 / $516.79 / $669.68	Facility		$177.22	$516.79	$669.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.94 / $118.94 / $148.68	Professional		$118.94	$118.94	$148.68
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 $102.20 / $227.83 / $434.25	Professional		$102.20	$227.83	$434.25
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