Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.80 / $1,238.86 / $3,523.80	Facility		$563.80	$1,238.86	$3,523.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.38 / $407.75 / $407.75	Professional		$352.38	$407.75	$407.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $877.02 / $1,611.23 / $2,604.84	Facility		$877.02	$1,611.23	$2,604.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.12 / $327.20 / $373.83	Professional		$278.12	$327.20	$373.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $908.99 / $1,839.84 / $2,208.34	Facility		$908.99	$1,839.84	$2,208.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.72 / $525.00 / $656.25	Professional		$402.72	$525.00	$656.25
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $528.16 / $838.16 / $1,658.25	Professional		$528.16	$838.16	$1,658.25
United Facility/Professional Professional Modifier Low / Median / High Price $211.43 / $302.04 / $302.04	Professional		$211.43	$302.04	$302.04
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $373.18 / $413.48 / $526.25	Professional		$373.18	$413.48	$526.25