Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $672.18 / $672.18 / $806.62	Facility		$672.18	$672.18	$806.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $739.40 / $739.40 / $739.40	Professional		$739.40	$739.40	$739.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $866.62 / $1,087.34 / $2,983.54	Facility		$866.62	$1,087.34	$2,983.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $659.00 / $739.39 / $739.39	Professional		$659.00	$739.39	$739.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $739.40 / $739.40 / $739.40	Facility		$739.40	$739.40	$739.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $739.40 / $739.40 / $739.40	Professional		$739.40	$739.40	$739.40
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $739.40 / $1,121.36 / $2,282.16	Professional		$739.40	$1,121.36	$2,282.16
United Facility/Professional Professional Modifier Low / Median / High Price $57.20 / $85.80 / $143.00	Professional		$57.20	$85.80	$143.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $673.20 / $856.80 / $3,000.00	Professional		$673.20	$856.80	$3,000.00