Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.84 / $776.84 / $932.21	Facility		$776.84	$776.84	$932.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.84 / $776.84 / $776.84	Professional		$776.84	$776.84	$776.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $526.66 / $1,142.42 / $1,688.31	Facility		$526.66	$1,142.42	$1,688.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $761.61 / $776.84 / $776.84	Professional		$761.61	$776.84	$776.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.84 / $776.84 / $776.84	Facility		$776.84	$776.84	$776.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.84 / $776.84 / $776.84	Professional		$776.84	$776.84	$776.84
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $776.84 / $1,127.51 / $2,397.71	Professional		$776.84	$1,127.51	$2,397.71
United Facility/Professional Professional Modifier Low / Median / High Price $761.61 / $761.61 / $776.84	Professional		$761.61	$761.61	$776.84
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