Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.28 / $575.28 / $690.34	Facility		$575.28	$575.28	$690.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.28 / $575.28 / $674.09	Professional		$575.28	$575.28	$674.09
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 $388.11 / $398.84 / $398.84	Professional		$388.11	$398.84	$398.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.29 / $358.29 / $358.29	Facility		$358.29	$358.29	$358.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.29 / $358.29 / $358.29	Professional		$358.29	$358.29	$358.29
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $575.28 / $872.47 / $1,775.60	Professional		$575.28	$872.47	$1,775.60
United Facility/Professional Professional Modifier Low / Median / High Price $517.75 / $676.80 / $676.80	Professional		$517.75	$676.80	$676.80
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $575.28 / $632.80 / $805.39	Professional		$575.28	$632.80	$805.39