Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $10.58 / $20.00	Professional		$5.00	$10.58	$20.00
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 $150.00 / $150.00 / $258.75	Professional		$150.00	$150.00	$258.75
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 $204.44 / $204.44 / $255.54	Professional		$204.44	$204.44	$255.54
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 / $3,000.00 / $4,410.00	Professional		$2,500.00	$3,000.00	$4,410.00