Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $528.58 / $592.01 / $1,057.16	Facility		$528.58	$592.01	$1,057.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $636.59	Professional		$636.59	$636.59	$636.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.75 / $1,145.85 / $2,887.83	Facility		$758.75	$1,145.85	$2,887.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $528.58 / $636.59 / $636.59	Professional		$528.58	$636.59	$636.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $600.55 / $636.59 / $636.59	Facility		$600.55	$636.59	$636.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $636.59	Professional		$636.59	$636.59	$636.59
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $667.91 / $1,033.82 / $1,964.84	Professional		$667.91	$1,033.82	$1,964.84
United Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $636.59	Professional		$636.59	$636.59	$636.59
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $988.38 / $1,087.22 / $1,383.73	Professional		$988.38	$1,087.22	$1,383.73