Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $903.21 / $903.21 / $1,083.84	Facility		$903.21	$903.21	$1,083.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $903.21 / $903.21 / $903.21	Professional		$903.21	$903.21	$903.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,012.21 / $1,593.90 / $3,244.84	Facility		$1,012.21	$1,593.90	$3,244.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $885.50 / $903.21 / $903.21	Professional		$885.50	$903.21	$903.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $903.21 / $903.21 / $903.21	Facility		$903.21	$903.21	$903.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $903.21 / $903.21 / $903.21	Professional		$903.21	$903.21	$903.21
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $903.21 / $1,369.81 / $2,787.76	Professional		$903.21	$1,369.81	$2,787.76
United Facility/Professional Professional Modifier Low / Median / High Price $885.50 / $885.50 / $903.21	Professional		$885.50	$885.50	$903.21
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $450.13 / $579.92 / $3,000.00	Professional		$450.13	$579.92	$3,000.00