Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.62 / $273.64 / $813.60	Facility		$161.62	$273.64	$813.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $272.70 / $306.24	Professional		$272.70	$272.70	$306.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $319.64 / $401.06 / $1,100.44	Facility		$319.64	$401.06	$1,100.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $272.70 / $272.70	Professional		$267.37	$272.70	$272.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.70 / $272.70 / $272.70	Facility		$272.70	$272.70	$272.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $272.70 / $272.70	Professional		$272.70	$272.70	$272.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $413.59 / $841.72	Professional		$272.70	$413.59	$841.72
United Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $267.37 / $638.69	Professional		$267.37	$267.37	$638.69
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $375.25 / $3,000.00	Professional		$272.70	$375.25	$3,000.00