Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $446.68	Facility		$371.54	$371.54	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $331.13 / $549.54	Professional		$288.40	$331.13	$549.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $707.95 / $812.83	Facility		$660.69	$707.95	$812.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $416.87	Professional		$407.38	$407.38	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $436.52	Professional		$316.23	$316.23	$436.52
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $1,000.00	Professional		$575.44	$575.44	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $407.38 / $446.68	Facility		$186.21	$407.38	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $575.44	Professional		$257.04	$346.74	$575.44
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $933.25	Facility		$588.84	$588.84	$933.25