Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.25 / $80.40 / $270.42	Professional		$79.25	$80.40	$270.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.44 / $533.03 / $942.29	Professional		$174.44	$533.03	$942.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.14 / $481.46 / $718.74	Professional		$234.14	$481.46	$718.74
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $297.35 / $467.23 / $917.77	Professional		$297.35	$467.23	$917.77
United Facility/Professional Professional Modifier Low / Median / High Price $85.59 / $126.52 / $515.71	Professional		$85.59	$126.52	$515.71
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