Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $782.95 / $782.95 / $939.54	Facility		$782.95	$782.95	$939.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $548.20 / $607.54 / $783.73	Professional		$548.20	$607.54	$783.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,390.50 / $1,390.50 / $1,648.30	Facility		$1,390.50	$1,390.50	$1,648.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $643.32 / $643.32 / $665.50	Professional		$643.32	$643.32	$665.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $769.23 / $769.23 / $769.23	Facility		$769.23	$769.23	$769.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $561.54 / $561.54 / $820.03	Professional		$561.54	$561.54	$820.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,125.82 / $1,125.82 / $3,474.84	Professional		$1,125.82	$1,125.82	$3,474.84
United Facility/Professional Professional Modifier Low / Median / High Price $462.47 / $693.70 / $1,023.55	Professional		$462.47	$693.70	$1,023.55
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,041.44 / $1,145.58 / $1,458.02	Professional		$1,041.44	$1,145.58	$1,458.02