Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $426.58 / $758.58	Facility		$380.19	$426.58	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $457.09	Professional		$380.19	$380.19	$457.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,000.00 / $1,659.59	Facility		$512.86	$1,000.00	$1,659.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $426.58	Professional		$380.19	$380.19	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $380.19 / $380.19	Facility		$354.81	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $426.58	Professional		$398.11	$398.11	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $426.58	Professional		$380.19	$380.19	$426.58
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $489.78 / $707.95	Facility		$416.87	$489.78	$707.95