Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $973.55 / $973.55 / $1,168.26	Facility		$973.55	$973.55	$1,168.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $755.45 / $788.22 / $973.55	Professional		$755.45	$788.22	$973.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,729.01 / $1,729.01 / $2,049.57	Facility		$1,729.01	$1,729.01	$2,049.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $943.02 / $943.02 / $985.02	Professional		$943.02	$943.02	$985.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,260.83 / $1,260.83 / $1,260.83	Facility		$1,260.83	$1,260.83	$1,260.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $920.41 / $920.41 / $1,260.83	Professional		$920.41	$920.41	$1,260.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,399.89 / $1,399.89 / $4,320.76	Professional		$1,399.89	$1,399.89	$4,320.76
United Facility/Professional Professional Modifier Low / Median / High Price $575.04 / $862.58 / $1,399.89	Professional		$575.04	$862.58	$1,399.89
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,294.97 / $1,424.47 / $1,812.96	Professional		$1,294.97	$1,424.47	$1,812.96