Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $855.05 / $855.05 / $1,026.06	Facility		$855.05	$855.05	$1,026.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $610.95 / $663.50 / $855.05	Professional		$610.95	$663.50	$855.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,518.54 / $1,518.54 / $1,800.08	Facility		$1,518.54	$1,518.54	$1,800.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $904.15 / $904.15 / $947.34	Professional		$904.15	$904.15	$947.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,149.77 / $1,149.77 / $1,149.77	Facility		$1,149.77	$1,149.77	$1,149.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.33 / $839.33 / $1,149.77	Professional		$839.33	$839.33	$1,149.77
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,229.50 / $1,229.50 / $3,794.85	Professional		$1,229.50	$1,229.50	$3,794.85
United Facility/Professional Professional Modifier Low / Median / High Price $505.06 / $757.58 / $1,086.85	Professional		$505.06	$757.58	$1,086.85
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,137.33 / $1,251.07 / $1,592.28	Professional		$1,137.33	$1,251.07	$1,592.28