Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $772.70 / $772.70 / $927.24	Facility		$772.70	$772.70	$927.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $564.78 / $599.60 / $832.97	Professional		$564.78	$599.60	$832.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,372.31 / $1,372.31 / $1,626.74	Facility		$1,372.31	$1,372.31	$1,626.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $735.52 / $735.52 / $801.53	Professional		$735.52	$735.52	$801.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $907.46 / $907.46 / $907.46	Facility		$907.46	$907.46	$907.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.45 / $907.46 / $1,117.80	Professional		$662.45	$907.46	$1,117.80
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,111.10 / $1,111.10 / $3,429.44	Professional		$1,111.10	$1,111.10	$3,429.44
United Facility/Professional Professional Modifier Low / Median / High Price $471.49 / $684.64 / $1,111.10	Professional		$471.49	$684.64	$1,111.10
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,027.81 / $1,206.79 / $1,813.06	Professional		$1,027.81	$1,206.79	$1,813.06