Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $816.00 / $1,004.09	Facility		$816.00	$816.00	$1,004.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $816.00 / $816.00	Professional		$816.00	$816.00	$816.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $1,782.16 / $5,182.43	Facility		$1,080.00	$1,782.16	$5,182.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $816.00 / $816.00	Professional		$800.00	$816.00	$816.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $816.00 / $816.00	Facility		$816.00	$816.00	$816.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $816.00 / $816.00	Professional		$816.00	$816.00	$816.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,198.61 / $1,855.27 / $3,526.05	Professional		$1,198.61	$1,855.27	$3,526.05
United Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $800.00 / $800.00	Professional		$800.00	$800.00	$800.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $3,193.62 / $3,512.98 / $4,471.07	Professional		$3,193.62	$3,512.98	$4,471.07