Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.91 / $823.09 / $844.01	Facility		$685.91	$823.09	$844.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $685.91 / $686.00 / $713.44	Professional		$685.91	$686.00	$713.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $820.11 / $1,234.80 / $2,998.30	Facility		$820.11	$1,234.80	$2,998.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $686.00 / $686.00	Professional		$686.00	$686.00	$686.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $647.16 / $686.00 / $686.00	Facility		$647.16	$686.00	$686.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $686.00 / $686.00	Professional		$686.00	$686.00	$686.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $686.00 / $1,149.53	Professional		$686.00	$686.00	$1,149.53
United Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $686.00 / $727.16	Professional		$686.00	$686.00	$727.16
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $537.57 / $591.33 / $752.60	Professional		$537.57	$591.33	$752.60