Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $912.01	Facility		$758.58	$758.58	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $707.95 / $1,000.00	Professional		$537.03	$707.95	$1,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,445.44 / $1,659.59	Facility		$1,380.38	$1,445.44	$1,659.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $977.24	Facility		$676.08	$676.08	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $676.08	Professional		$501.19	$501.19	$676.08
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $2,041.74	Professional		$1,174.90	$1,174.90	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $549.54 / $724.44	Facility		$338.84	$549.54	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $1,174.90	Professional		$446.68	$660.69	$1,174.90
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,659.59	Facility		$1,047.13	$1,047.13	$1,659.59