Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $742.90 / $832.05 / $1,485.80	Facility		$742.90	$832.05	$1,485.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.85 / $748.85 / $748.85	Professional		$748.85	$748.85	$748.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $892.55 / $1,347.93 / $3,397.08	Facility		$892.55	$1,347.93	$3,397.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $742.90 / $748.85 / $748.85	Professional		$742.90	$748.85	$748.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $706.46 / $748.84 / $748.84	Facility		$706.46	$748.84	$748.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.84 / $748.84 / $748.84	Professional		$748.84	$748.84	$748.84
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $785.69 / $1,216.13 / $2,311.33	Professional		$785.69	$1,216.13	$2,311.33
United Facility/Professional Professional Modifier Low / Median / High Price $748.85 / $748.85 / $1,085.83	Professional		$748.85	$748.85	$1,085.83
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $53.56 / $725.60 / $1,113.01	Professional		$53.56	$725.60	$1,113.01