Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.20 / $1,870.36 / $5,320.00	Facility		$851.20	$1,870.36	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.00 / $615.60 / $615.60	Professional		$532.00	$615.60	$615.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,250.20 / $1,389.28 / $2,964.00	Facility		$1,250.20	$1,389.28	$2,964.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $494.00 / $557.84	Professional		$304.00	$494.00	$557.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,372.33 / $2,778.31 / $3,334.01	Facility		$1,372.33	$2,778.31	$3,334.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $608.00 / $873.50 / $1,091.86	Professional		$608.00	$873.50	$1,091.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,031.47 / $1,265.40 / $2,503.52	Professional		$1,031.47	$1,265.40	$2,503.52
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $456.00 / $456.00	Professional		$319.20	$456.00	$456.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $567.49 / $624.24 / $794.49	Professional		$567.49	$624.24	$794.49