Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $970.07 / $970.07 / $1,164.08	Facility		$970.07	$970.07	$1,164.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $737.70 / $752.75 / $970.07	Professional		$737.70	$752.75	$970.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,722.85 / $1,722.85 / $2,042.27	Facility		$1,722.85	$1,722.85	$2,042.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,009.19 / $1,009.19 / $1,054.14	Professional		$1,009.19	$1,009.19	$1,054.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,324.18 / $1,324.18 / $1,324.18	Facility		$1,324.18	$1,324.18	$1,324.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.65 / $966.65 / $1,324.18	Professional		$966.65	$966.65	$1,324.18
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,394.90 / $1,394.90 / $4,305.35	Professional		$1,394.90	$1,394.90	$4,305.35
United Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $640.00	Facility		$640.00	$640.00	$640.00
United Facility/Professional Professional Modifier Low / Median / High Price $573.00 / $859.51 / $1,241.41	Professional		$573.00	$859.51	$1,241.41
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,290.34 / $1,419.39 / $1,806.49	Professional		$1,290.34	$1,419.39	$1,806.49