Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $910.90 / $910.90 / $1,093.08	Facility		$910.90	$910.90	$1,093.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $609.48 / $706.84 / $910.90	Professional		$609.48	$706.84	$910.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,617.75 / $1,617.75 / $1,917.68	Facility		$1,617.75	$1,617.75	$1,917.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $789.98 / $789.98 / $860.88	Professional		$789.98	$789.98	$860.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.96 / $842.96 / $842.96	Facility		$842.96	$842.96	$842.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.36 / $615.36 / $868.25	Professional		$615.36	$615.36	$868.25
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,309.82 / $1,309.82 / $4,042.76	Professional		$1,309.82	$1,309.82	$4,042.76
United Facility/Professional Professional Modifier Low / Median / High Price $538.04 / $807.08 / $958.31	Professional		$538.04	$807.08	$958.31
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,211.64 / $1,332.80 / $1,696.30	Professional		$1,211.64	$1,332.80	$1,696.30