Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,209.26 / $1,209.26 / $1,451.11	Facility		$1,209.26	$1,209.26	$1,451.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $844.83 / $938.36 / $1,209.26	Professional		$844.83	$938.36	$1,209.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,147.63 / $2,147.63 / $2,545.80	Facility		$2,147.63	$2,147.63	$2,545.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $943.22 / $943.22 / $1,027.86	Professional		$943.22	$943.22	$1,027.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,006.48 / $1,006.48 / $1,006.48	Facility		$1,006.48	$1,006.48	$1,006.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $734.73 / $734.73 / $1,006.48	Professional		$734.73	$734.73	$1,006.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,738.84 / $1,738.84 / $5,366.93	Professional		$1,738.84	$1,738.84	$5,366.93
United Facility/Professional Facility Modifier Low / Median / High Price $820.00 / $820.00 / $820.00	Facility		$820.00	$820.00	$820.00
United Facility/Professional Professional Modifier Low / Median / High Price $714.29 / $1,071.43 / $1,272.19	Professional		$714.29	$1,071.43	$1,272.19
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,608.51 / $1,769.36 / $2,251.91	Professional		$1,608.51	$1,769.36	$2,251.91