Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $933.25	Facility		$776.25	$776.25	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $691.83 / $1,023.29	Professional		$549.54	$691.83	$1,023.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,513.56 / $1,737.80	Facility		$1,412.54	$1,513.56	$1,737.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $660.69	Professional		$645.65	$645.65	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $1,023.29	Facility		$776.25	$776.25	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $776.25	Professional		$562.34	$562.34	$776.25
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $2,137.96	Professional		$1,230.27	$1,230.27	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $537.03 / $794.33	Facility		$323.59	$537.03	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $691.83 / $1,230.27	Professional		$467.74	$691.83	$1,230.27
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,995.26	Facility		$1,230.27	$1,230.27	$1,995.26