Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $436.52 / $794.33	Facility		$389.05	$436.52	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $457.09	Professional		$389.05	$389.05	$457.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,023.29 / $1,698.24	Facility		$537.03	$1,023.29	$1,698.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $426.58	Professional		$389.05	$389.05	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $389.05 / $389.05	Facility		$371.54	$389.05	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $457.09	Professional		$389.05	$389.05	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $389.05 / $416.87	Professional		$323.59	$389.05	$416.87
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $562.34 / $660.69	Facility		$389.05	$562.34	$660.69