Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $981.75 / $981.75 / $4,543.60	Facility		$981.75	$981.75	$4,543.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $981.75 / $981.75 / $981.75	Professional		$981.75	$981.75	$981.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $842.13 / $1,732.50 / $2,699.61	Facility		$842.13	$1,732.50	$2,699.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $962.50 / $981.75 / $981.75	Professional		$962.50	$981.75	$981.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $981.75 / $981.75 / $981.75	Facility		$981.75	$981.75	$981.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $981.75 / $981.75 / $981.75	Professional		$981.75	$981.75	$981.75
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $981.75 / $1,424.91 / $3,030.17	Professional		$981.75	$1,424.91	$3,030.17
United Facility/Professional Professional Modifier Low / Median / High Price $962.50 / $962.50 / $981.75	Professional		$962.50	$962.50	$981.75
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,009.80 / $1,285.20 / $3,000.00	Professional		$1,009.80	$1,285.20	$3,000.00