Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $408.00 / $489.60	Facility		$408.00	$408.00	$489.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.80 / $408.00 / $408.00	Professional		$388.80	$408.00	$408.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Professional		$408.00	$408.00	$408.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Facility		$408.00	$408.00	$408.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Professional		$408.00	$408.00	$408.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $408.00 / $592.16	Professional		$408.00	$408.00	$592.16
United Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $480.00 / $480.00	Professional		$408.00	$480.00	$480.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $448.80 / $571.20	Professional		$408.00	$448.80	$571.20