Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $967.49 / $967.49 / $1,160.99	Facility		$967.49	$967.49	$1,160.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.49 / $750.75 / $967.49	Professional		$575.49	$750.75	$967.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,718.25 / $1,718.25 / $2,036.81	Facility		$1,718.25	$1,718.25	$2,036.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $787.30 / $787.30 / $822.37	Professional		$787.30	$787.30	$822.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $908.11 / $908.11 / $908.11	Facility		$908.11	$908.11	$908.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.92 / $662.92 / $908.11	Professional		$662.92	$662.92	$908.11
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,391.19 / $1,391.19 / $4,293.91	Professional		$1,391.19	$1,391.19	$4,293.91
United Facility/Professional Professional Modifier Low / Median / High Price $571.48 / $857.21 / $1,229.79	Professional		$571.48	$857.21	$1,229.79
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,286.91 / $1,415.60 / $1,801.67	Professional		$1,286.91	$1,415.60	$1,801.67