Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $753.92 / $753.92 / $904.70	Facility		$753.92	$753.92	$904.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $753.92 / $753.92 / $883.42	Professional		$753.92	$753.92	$883.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.04	Facility		$0.02	$0.02	$0.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $753.92 / $753.92 / $753.92	Professional		$753.92	$753.92	$753.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $876.07 / $876.07 / $876.07	Facility		$876.07	$876.07	$876.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.07 / $876.07 / $876.07	Professional		$876.07	$876.07	$876.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $753.92 / $1,143.40 / $2,326.96	Professional		$753.92	$1,143.40	$2,326.96
United Facility/Professional Professional Modifier Low / Median / High Price $886.96 / $886.96 / $886.96	Professional		$886.96	$886.96	$886.96
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $753.92 / $829.31 / $1,055.49	Professional		$753.92	$829.31	$1,055.49