Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.09 / $402.18 / $718.18	Facility		$359.09	$402.18	$718.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.18 / $359.19 / $359.19	Professional		$359.18	$359.19	$359.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $428.12 / $646.54 / $1,629.43	Facility		$428.12	$646.54	$1,629.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.09 / $359.19 / $359.19	Professional		$359.09	$359.19	$359.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.86 / $359.19 / $359.19	Facility		$338.86	$359.19	$359.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.19 / $359.19 / $359.19	Professional		$359.19	$359.19	$359.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $376.86 / $583.32 / $1,108.64	Professional		$376.86	$583.32	$1,108.64
United Facility/Professional Professional Modifier Low / Median / High Price $359.19 / $359.19 / $359.19	Professional		$359.19	$359.19	$359.19
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $340.70 / $426.19 / $3,000.00	Professional		$340.70	$426.19	$3,000.00