Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.38 / $148.38 / $148.38	Professional		$148.38	$148.38	$148.38
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 $225.00 / $225.00 / $388.12	Professional		$225.00	$225.00	$388.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.22 / $516.79 / $669.68	Facility		$177.22	$516.79	$669.68
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $180.53 / $423.60 / $651.00	Professional		$180.53	$423.60	$651.00
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