Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $784.55 / $784.55 / $941.46	Facility		$784.55	$784.55	$941.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $784.55 / $784.55 / $784.55	Professional		$784.55	$784.55	$784.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $705.67 / $1,384.51 / $2,262.17	Facility		$705.67	$1,384.51	$2,262.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $769.17 / $784.55 / $784.55	Professional		$769.17	$784.55	$784.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $784.55 / $784.55 / $784.55	Facility		$784.55	$784.55	$784.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $784.55 / $784.55 / $784.55	Professional		$784.55	$784.55	$784.55
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $784.55 / $1,138.70 / $2,421.51	Professional		$784.55	$1,138.70	$2,421.51
United Facility/Professional Professional Modifier Low / Median / High Price $769.17 / $769.17 / $784.55	Professional		$769.17	$769.17	$784.55
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $620.50 / $724.74 / $2,500.00	Professional		$620.50	$724.74	$2,500.00