Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $831.76	Facility		$691.83	$691.83	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $645.65 / $1,071.52	Professional		$501.19	$645.65	$1,071.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,348.96 / $1,513.56	Facility		$1,258.93	$1,348.96	$1,513.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $741.31	Professional		$537.03	$537.03	$741.31
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,862.09	Professional		$1,071.52	$1,071.52	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $562.34 / $741.31	Facility		$346.74	$562.34	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $1,071.52	Professional		$426.58	$616.60	$1,071.52
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,778.28	Facility		$1,096.48	$1,096.48	$1,778.28