Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $1,000.00	Facility		$831.76	$831.76	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $776.25 / $1,288.25	Professional		$602.56	$776.25	$1,288.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,584.89 / $1,819.70	Facility		$1,513.56	$1,584.89	$1,819.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,071.52	Facility		$1,047.13	$1,047.13	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $1,047.13	Professional		$758.58	$758.58	$1,047.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $2,238.72	Professional		$1,288.25	$1,288.25	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $660.69 / $776.25	Facility		$416.87	$660.69	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $724.44 / $1,288.25	Professional		$501.19	$724.44	$1,288.25
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,819.70	Facility		$1,148.15	$1,148.15	$1,819.70