Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.15 / $896.17 / $1,600.30	Facility		$800.15	$896.17	$1,600.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $796.09 / $800.15	Professional		$796.09	$796.09	$800.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $951.73 / $1,194.14 / $3,276.55	Facility		$951.73	$1,194.14	$3,276.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $796.09 / $800.15	Professional		$796.09	$796.09	$800.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $751.03 / $796.09 / $796.09	Facility		$751.03	$796.09	$796.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $796.09 / $796.09	Professional		$796.09	$796.09	$796.09
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $1,325.49 / $2,622.40	Professional		$796.09	$1,325.49	$2,622.40
United Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $796.09 / $796.09	Professional		$796.09	$796.09	$796.09
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $418.15 / $459.97 / $585.41	Professional		$418.15	$459.97	$585.41