Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.58 / $449.58 / $553.21	Facility		$449.58	$449.58	$553.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.58 / $449.58 / $449.58	Professional		$449.58	$449.58	$449.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $1,122.80 / $1,936.68	Facility		$0.02	$1,122.80	$1,936.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.92 / $426.92 / $426.92	Professional		$426.92	$426.92	$426.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.92 / $426.92 / $426.92	Facility		$426.92	$426.92	$426.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.92 / $426.92 / $426.92	Professional		$426.92	$426.92	$426.92
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $471.70 / $730.12 / $1,387.63	Professional		$471.70	$730.12	$1,387.63
United Facility/Professional Professional Modifier Low / Median / High Price $476.56 / $528.91 / $560.66	Professional		$476.56	$528.91	$560.66
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $244.55 / $269.01 / $342.37	Professional		$244.55	$269.01	$342.37