Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $1,174.90	Facility		$977.24	$977.24	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $912.01 / $1,513.56	Professional		$724.44	$912.01	$1,513.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,905.46 / $2,187.76	Facility		$1,778.28	$1,905.46	$2,187.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,445.44	Facility		$1,174.90	$1,174.90	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $1,230.27	Professional		$851.14	$851.14	$1,230.27
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,691.53	Professional		$1,513.56	$1,513.56	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $794.33 / $933.25	Facility		$489.78	$794.33	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $1,513.56	Professional		$602.56	$870.96	$1,513.56
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $2,187.76	Facility		$1,348.96	$1,348.96	$2,187.76