Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.48 / $421.66 / $752.96	Facility		$376.48	$421.66	$752.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.51 / $377.52 / $377.52	Professional		$377.51	$377.52	$377.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $449.97 / $679.54 / $1,712.58	Facility		$449.97	$679.54	$1,712.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.48 / $377.52 / $377.52	Professional		$376.48	$377.52	$377.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $356.15 / $377.52 / $377.52	Facility		$356.15	$377.52	$377.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $377.52 / $377.52	Professional		$377.52	$377.52	$377.52
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $396.09 / $613.09 / $1,165.22	Professional		$396.09	$613.09	$1,165.22
United Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $377.52 / $420.26	Professional		$377.52	$377.52	$420.26
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $335.18 / $368.70 / $469.25	Professional		$335.18	$368.70	$469.25