Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $772.90 / $772.90 / $927.48	Facility		$772.90	$772.90	$927.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $564.91 / $599.75 / $772.90	Professional		$564.91	$599.75	$772.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,372.66 / $1,372.66 / $1,627.15	Facility		$1,372.66	$1,372.66	$1,627.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $803.81 / $803.81 / $875.95	Professional		$803.81	$803.81	$875.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $857.71 / $857.71 / $857.71	Facility		$857.71	$857.71	$857.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $626.13 / $626.13 / $883.44	Professional		$626.13	$626.13	$883.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,111.38 / $1,111.38 / $3,430.27	Professional		$1,111.38	$1,111.38	$3,430.27
United Facility/Professional Professional Modifier Low / Median / High Price $515.27 / $684.80 / $896.98	Professional		$515.27	$684.80	$896.98
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,028.08 / $1,130.89 / $1,439.31	Professional		$1,028.08	$1,130.89	$1,439.31