Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.75 / $80.75 / $96.90	Facility		$80.75	$80.75	$96.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.23 / $381.23 / $381.23	Professional		$381.23	$381.23	$381.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $466.25 / $585.00 / $1,605.16	Facility		$466.25	$585.00	$1,605.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $381.22 / $381.22 / $390.00	Professional		$381.22	$381.22	$390.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $381.23 / $381.23 / $381.23	Facility		$381.23	$381.23	$381.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.23 / $381.23 / $381.23	Professional		$381.23	$381.23	$381.23
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $381.23 / $578.16 / $1,176.67	Professional		$381.23	$578.16	$1,176.67
United Facility/Professional Professional Modifier Low / Median / High Price $381.23 / $390.00 / $936.00	Professional		$381.23	$390.00	$936.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $80.75 / $88.83 / $113.05	Professional		$80.75	$88.83	$113.05