Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.69 / $872.69 / $1,047.23	Facility		$872.69	$872.69	$1,047.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $677.19 / $692.14 / $1,043.84	Professional		$677.19	$692.14	$1,043.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,549.90 / $1,549.90 / $1,837.25	Facility		$1,549.90	$1,549.90	$1,837.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $905.47 / $954.08 / $954.08	Professional		$905.47	$954.08	$954.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,111.22 / $1,111.22 / $1,111.22	Facility		$1,111.22	$1,111.22	$1,111.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $811.19 / $811.19 / $1,111.22	Professional		$811.19	$811.19	$1,111.22
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,254.88 / $1,254.88 / $3,873.19	Professional		$1,254.88	$1,254.88	$3,873.19
United Facility/Professional Professional Modifier Low / Median / High Price $515.48 / $773.22 / $1,090.83	Professional		$515.48	$773.22	$1,090.83
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,160.82 / $1,276.90 / $1,625.15	Professional		$1,160.82	$1,276.90	$1,625.15