Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $966.65 / $966.65 / $1,159.98	Facility		$966.65	$966.65	$1,159.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.10 / $952.47 / $1,030.05	Professional		$750.10	$952.47	$1,030.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,716.75 / $1,716.75 / $2,035.04	Facility		$1,716.75	$1,716.75	$2,035.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,048.81 / $1,048.81 / $1,095.53	Professional		$1,048.81	$1,048.81	$1,095.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,473.53 / $1,473.53 / $1,473.53	Facility		$1,473.53	$1,473.53	$1,473.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,075.68 / $1,075.68 / $1,473.53	Professional		$1,075.68	$1,075.68	$1,473.53
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,389.97 / $1,389.97 / $4,290.14	Professional		$1,389.97	$1,389.97	$4,290.14
United Facility/Professional Professional Modifier Low / Median / High Price $570.98 / $856.46 / $1,290.15	Professional		$570.98	$856.46	$1,290.15
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,285.79 / $1,414.37 / $1,800.11	Professional		$1,285.79	$1,414.37	$1,800.11