Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.18 / $425.80 / $760.36	Facility		$380.18	$425.80	$760.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $381.36 / $381.36	Professional		$381.36	$381.36	$381.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $449.70 / $629.59 / $1,666.81	Facility		$449.70	$629.59	$1,666.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.18 / $381.36 / $381.36	Professional		$380.18	$381.36	$381.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.77 / $381.36 / $381.36	Facility		$359.77	$381.36	$381.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $381.36 / $381.36	Professional		$381.36	$381.36	$381.36
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $400.12 / $619.33 / $1,177.07	Professional		$400.12	$619.33	$1,177.07
United Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $381.36 / $381.36	Professional		$381.36	$381.36	$381.36
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $349.91 / $384.90 / $489.87	Professional		$349.91	$384.90	$489.87