Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $674.80 / $859.95 / $2,367.64	Facility		$674.80	$859.95	$2,367.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $674.81 / $674.81 / $790.72	Professional		$674.81	$674.81	$790.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $790.91 / $992.36 / $2,722.89	Facility		$790.91	$992.36	$2,722.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $661.57 / $674.80 / $674.80	Professional		$661.57	$674.80	$674.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $674.81 / $674.81 / $674.81	Facility		$674.81	$674.81	$674.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $674.81 / $674.81 / $674.81	Professional		$674.81	$674.81	$674.81
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $674.81 / $1,023.42 / $2,082.80	Professional		$674.81	$1,023.42	$2,082.80
United Facility/Professional Professional Modifier Low / Median / High Price $661.57 / $661.57 / $674.81	Professional		$661.57	$661.57	$674.81
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $527.12 / $670.88 / $3,000.00	Professional		$527.12	$670.88	$3,000.00