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 / $532.00 / $615.60	Professional		$532.00	$532.00	$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 $494.00 / $494.00 / $1,246.40	Professional		$494.00	$494.00	$1,246.40
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
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $1,031.47 / $2,225.77	Professional		$760.00	$1,031.47	$2,225.77
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $456.00 / $760.00	Professional		$319.20	$456.00	$760.00
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