Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.98 / $526.98 / $632.38	Facility		$526.98	$526.98	$632.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $526.98 / $526.98 / $526.98	Professional		$526.98	$526.98	$526.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $379.84 / $805.26 / $1,217.66	Facility		$379.84	$805.26	$1,217.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $516.65 / $526.98 / $526.98	Professional		$516.65	$526.98	$526.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.98 / $526.98 / $526.98	Facility		$526.98	$526.98	$526.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.98 / $526.98 / $526.98	Professional		$526.98	$526.98	$526.98
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $526.98 / $764.86 / $1,626.52	Professional		$526.98	$764.86	$1,626.52
United Facility/Professional Professional Modifier Low / Median / High Price $516.65 / $516.65 / $526.98	Professional		$516.65	$516.65	$526.98
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $538.55 / $685.44 / $3,000.00	Professional		$538.55	$685.44	$3,000.00