Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $1,000.00	Facility		$831.76	$831.76	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $1,230.27	Professional		$645.65	$831.76	$1,230.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,584.89 / $1,819.70	Facility		$1,513.56	$1,584.89	$1,819.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,071.52	Facility		$912.01	$912.01	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $912.01	Professional		$660.69	$660.69	$912.01
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $2,238.72	Professional		$1,288.25	$1,288.25	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $954.99 / $1,096.48	Facility		$446.68	$954.99	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $794.33 / $1,288.25	Professional		$575.44	$794.33	$1,288.25
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $2,089.30	Facility		$1,318.26	$1,318.26	$2,089.30