Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.02 / $586.90 / $1,048.04	Facility		$524.02	$586.90	$1,048.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.25 / $529.26 / $529.26	Professional		$529.25	$529.26	$529.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.82 / $952.67 / $2,400.94	Facility		$630.82	$952.67	$2,400.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.02 / $529.26 / $529.26	Professional		$524.02	$529.26	$529.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.30 / $529.26 / $529.26	Facility		$499.30	$529.26	$529.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $529.26	Professional		$529.26	$529.26	$529.26
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $555.29 / $859.52 / $1,633.56	Professional		$555.29	$859.52	$1,633.56
United Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $554.82	Professional		$529.26	$529.26	$554.82
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,173.00 / $1,404.00 / $2,069.17	Professional		$1,173.00	$1,404.00	$2,069.17