Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.97 / $637.97 / $765.56	Facility		$637.97	$637.97	$765.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.04 / $548.09 / $687.72	Professional		$495.04	$548.09	$687.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,133.00 / $1,133.00 / $1,343.06	Facility		$1,133.00	$1,133.00	$1,343.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $613.00 / $613.00 / $655.80	Professional		$613.00	$613.00	$655.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $700.00 / $773.33	Facility		$700.00	$700.00	$773.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $511.00 / $511.00 / $746.24	Professional		$511.00	$511.00	$746.24
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $917.35 / $917.35 / $2,831.40	Professional		$917.35	$917.35	$2,831.40
United Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $480.00 / $480.00	Facility		$480.00	$480.00	$480.00
United Facility/Professional Professional Modifier Low / Median / High Price $376.83 / $565.25 / $671.16	Professional		$376.83	$565.25	$671.16
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $740.26 / $888.31 / $1,305.82	Professional		$740.26	$888.31	$1,305.82