Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.32 / $873.32 / $1,047.98	Facility		$873.32	$873.32	$1,047.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $638.30 / $677.68 / $941.43	Professional		$638.30	$677.68	$941.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,551.00 / $1,551.00 / $1,838.56	Facility		$1,551.00	$1,551.00	$1,838.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $905.90 / $929.30 / $929.30	Professional		$905.90	$929.30	$929.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,115.23 / $1,115.23 / $1,115.23	Facility		$1,115.23	$1,115.23	$1,115.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.12 / $814.12 / $1,115.23	Professional		$814.12	$814.12	$1,115.23
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,255.78 / $1,255.78 / $3,875.96	Professional		$1,255.78	$1,255.78	$3,875.96
United Facility/Professional Professional Modifier Low / Median / High Price $532.88 / $773.78 / $1,255.78	Professional		$532.88	$773.78	$1,255.78
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,161.65 / $1,277.82 / $1,626.31	Professional		$1,161.65	$1,277.82	$1,626.31