Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.83 / $794.83 / $953.80	Facility		$794.83	$794.83	$953.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.83 / $794.83 / $794.83	Professional		$794.83	$794.83	$794.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $931.58 / $1,168.85 / $3,207.20	Facility		$931.58	$1,168.85	$3,207.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $779.24 / $794.82 / $794.82	Professional		$779.24	$794.82	$794.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.83 / $794.83 / $794.83	Facility		$794.83	$794.83	$794.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.83 / $794.83 / $794.83	Professional		$794.83	$794.83	$794.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $794.83 / $878.76 / $1,159.97	Professional		$794.83	$878.76	$1,159.97
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $703.99 / $774.39 / $985.59	Professional		$703.99	$774.39	$985.59