Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $718.01 / $718.01 / $861.61	Facility		$718.01	$718.01	$861.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.91 / $563.02 / $718.01	Professional		$535.91	$563.02	$718.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,275.19 / $1,275.19 / $1,511.61	Facility		$1,275.19	$1,275.19	$1,511.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $656.97 / $656.97 / $698.03	Professional		$656.97	$656.97	$698.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $957.73 / $957.73 / $957.73	Facility		$957.73	$957.73	$957.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $699.14 / $699.14 / $957.73	Professional		$699.14	$699.14	$957.73
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,032.47 / $1,032.47 / $3,186.72	Professional		$1,032.47	$1,032.47	$3,186.72
United Facility/Professional Facility Modifier Low / Median / High Price $595.23 / $595.23 / $595.23	Facility		$595.23	$595.23	$595.23
United Facility/Professional Professional Modifier Low / Median / High Price $424.12 / $636.17 / $822.02	Professional		$424.12	$636.17	$822.02
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $955.07 / $1,050.58 / $1,337.10	Professional		$955.07	$1,050.58	$1,337.10