Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.80 / $343.62 / $613.60	Facility		$306.80	$343.62	$613.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $308.68 / $308.68	Professional		$308.68	$308.68	$308.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $364.00 / $524.76 / $1,349.15	Facility		$364.00	$524.76	$1,349.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.80 / $308.68 / $308.68	Professional		$306.80	$308.68	$308.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $291.20 / $308.68 / $308.68	Facility		$291.20	$308.68	$308.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $308.68 / $308.68	Professional		$308.68	$308.68	$308.68
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $323.87 / $501.30 / $952.74	Professional		$323.87	$501.30	$952.74
United Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $308.68 / $308.68	Professional		$308.68	$308.68	$308.68
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $258.88 / $284.77 / $362.43	Professional		$258.88	$284.77	$362.43