Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $606.35 / $727.62 / $746.11	Facility		$606.35	$727.62	$746.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $575.50 / $661.82	Professional		$575.50	$575.50	$661.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $688.01 / $1,035.90 / $2,515.34	Facility		$688.01	$1,035.90	$2,515.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $575.50 / $597.22	Professional		$575.50	$575.50	$597.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $542.92 / $575.50 / $575.50	Facility		$542.92	$575.50	$575.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $575.50 / $575.50	Professional		$575.50	$575.50	$575.50
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $575.50 / $964.37	Professional		$575.50	$575.50	$964.37
United Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $575.50 / $610.03	Professional		$575.50	$575.50	$610.03
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $766.54 / $958.87 / $3,375.00	Professional		$766.54	$958.87	$3,375.00