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 / $583.20 / $583.20	Professional		$504.00	$583.20	$583.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,184.40 / $1,316.16 / $2,808.00	Facility		$1,184.40	$1,316.16	$2,808.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.00 / $468.00 / $552.96	Professional		$288.00	$468.00	$552.96
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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $827.24 / $827.24 / $1,034.05	Professional		$827.24	$827.24	$1,034.05
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $977.18 / $1,279.58 / $2,561.69	Professional		$977.18	$1,279.58	$2,561.69
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $432.00 / $432.00	Professional		$302.39	$432.00	$432.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,750.00 / $3,500.00	Professional		$2,500.00	$2,750.00	$3,500.00