Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.43 / $553.76 / $988.86	Facility		$494.43	$553.76	$988.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $495.55	Professional		$495.55	$495.55	$495.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $590.65 / $891.99 / $2,248.01	Facility		$590.65	$891.99	$2,248.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $494.43 / $495.55 / $495.55	Professional		$494.43	$495.55	$495.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.50 / $495.55 / $495.55	Facility		$467.50	$495.55	$495.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $495.55	Professional		$495.55	$495.55	$495.55
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $519.92 / $804.77 / $1,529.52	Professional		$519.92	$804.77	$1,529.52
United Facility/Professional Professional Modifier Low / Median / High Price $458.77 / $495.55 / $495.55	Professional		$458.77	$495.55	$495.55
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $445.40 / $489.94 / $623.55	Professional		$445.40	$489.94	$623.55