Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.25 / $523.16 / $18,552.36	Facility		$222.25	$523.16	$18,552.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $222.25 / $222.25	Professional		$222.25	$222.25	$222.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $264.89 / $400.05 / $1,008.21	Facility		$264.89	$400.05	$1,008.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $222.25 / $237.10	Professional		$222.25	$222.25	$237.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.67 / $399.36 / $399.36	Facility		$209.67	$399.36	$399.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.36 / $399.36 / $399.36	Professional		$399.36	$399.36	$399.36
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $233.18 / $360.93 / $685.97	Professional		$233.18	$360.93	$685.97
United Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $222.25 / $427.88	Professional		$222.25	$222.25	$427.88
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $400.07 / $500.45 / $3,000.00	Professional		$400.07	$500.45	$3,000.00