Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.20 / $312.24 / $1,089.57	Facility		$260.20	$312.24	$1,089.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.20 / $260.20 / $304.89	Professional		$260.20	$260.20	$304.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $304.97 / $382.65 / $1,049.94	Facility		$304.97	$382.65	$1,049.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.10 / $260.20 / $260.20	Professional		$255.10	$260.20	$260.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.20 / $260.20 / $260.20	Facility		$260.20	$260.20	$260.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.20 / $260.20 / $260.20	Professional		$260.20	$260.20	$260.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $260.20 / $394.62 / $803.11	Professional		$260.20	$394.62	$803.11
United Facility/Professional Professional Modifier Low / Median / High Price $255.10 / $255.10 / $260.20	Professional		$255.10	$255.10	$260.20
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $249.62 / $317.70 / $3,000.00	Professional		$249.62	$317.70	$3,000.00