Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,398.83 / $9,772.37	Facility		$933.25	$2,398.83	$9,772.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,737.80 / $3,019.95	Facility		$1,584.89	$1,737.80	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,890.45 / $8,709.64	Facility		$933.25	$3,890.45	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,890.45 / $8,709.64	Facility		$933.25	$3,890.45	$8,709.64
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $208.93 / $245.47	Facility		$144.54	$208.93	$245.47
Well Sense Facility/Professional Facility Modifier 62 Low / Median / High Price $83.18 / $83.18 / $83.18	Facility	62	$83.18	$83.18	$83.18