Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $992.24 / $992.24 / $1,190.69	Facility		$992.24	$992.24	$1,190.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $769.96 / $916.05 / $1,057.32	Professional		$769.96	$916.05	$1,057.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,762.21 / $1,762.21 / $2,088.92	Facility		$1,762.21	$1,762.21	$2,088.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,076.58 / $1,076.58 / $1,124.54	Professional		$1,076.58	$1,076.58	$1,124.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,498.90 / $1,498.90 / $1,498.90	Facility		$1,498.90	$1,498.90	$1,498.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.20 / $1,094.20 / $1,498.90	Professional		$1,094.20	$1,094.20	$1,498.90
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,426.78 / $1,426.78 / $4,403.76	Professional		$1,426.78	$1,426.78	$4,403.76
United Facility/Professional Professional Modifier Low / Median / High Price $688.36 / $879.14 / $1,481.22	Professional		$688.36	$879.14	$1,481.22
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,319.84 / $1,451.82 / $1,847.78	Professional		$1,319.84	$1,451.82	$1,847.78