Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $806.40 / $1,771.92 / $5,040.00	Facility		$806.40	$1,771.92	$5,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.00 / $504.00 / $583.20	Professional		$504.00	$504.00	$583.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,184.40 / $1,393.78 / $3,585.10	Facility		$1,184.40	$1,393.78	$3,585.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.00 / $468.00 / $468.00	Professional		$288.00	$468.00	$468.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,300.09 / $2,632.28 / $3,158.53	Facility		$1,300.09	$2,632.28	$3,158.53
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $1,045.01 / $2,371.75	Professional		$720.00	$1,045.01	$2,371.75
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $432.00 / $720.00	Professional		$302.39	$432.00	$720.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $537.62 / $591.38 / $752.67	Professional		$537.62	$591.38	$752.67