Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.98 / $374.98 / $461.41	Facility		$374.98	$374.98	$461.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.98 / $374.98 / $374.98	Professional		$374.98	$374.98	$374.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $439.50 / $551.45 / $1,513.09	Facility		$439.50	$551.45	$1,513.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.63 / $374.97 / $374.97	Professional		$367.63	$374.97	$374.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $374.98 / $374.98 / $374.98	Facility		$374.98	$374.98	$374.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.98 / $374.98 / $374.98	Professional		$374.98	$374.98	$374.98
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $508.92 / $624.34 / $1,157.38	Professional		$508.92	$624.34	$1,157.38
United Facility/Professional Professional Modifier Low / Median / High Price $367.63 / $367.63 / $367.63	Professional		$367.63	$367.63	$367.63
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $143.54 / $157.88 / $200.96	Professional		$143.54	$157.88	$200.96