Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $793.42 / $793.42 / $952.10	Facility		$793.42	$793.42	$952.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $793.42 / $793.42 / $793.42	Professional		$793.42	$793.42	$793.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $756.95 / $1,400.15 / $2,426.57	Facility		$756.95	$1,400.15	$2,426.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $777.86 / $793.41 / $793.41	Professional		$777.86	$793.41	$793.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $793.42 / $793.42 / $793.42	Facility		$793.42	$793.42	$793.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $793.42 / $793.42 / $793.42	Professional		$793.42	$793.42	$793.42
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $793.42 / $1,151.57 / $2,448.89	Professional		$793.42	$1,151.57	$2,448.89
United Facility/Professional Professional Modifier Low / Median / High Price $777.86 / $777.86 / $793.42	Professional		$777.86	$777.86	$793.42
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,750.00 / $3,500.00	Professional		$2,500.00	$2,750.00	$3,500.00