Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $870.96	Facility		$724.44	$724.44	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $1,096.48	Professional		$575.44	$724.44	$1,096.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,412.54 / $1,621.81	Facility		$1,318.26	$1,412.54	$1,621.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $812.83	Professional		$691.83	$691.83	$812.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,995.26	Professional		$1,122.02	$1,122.02	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $891.25 / $977.24	Facility		$398.11	$891.25	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $691.83 / $1,122.02	Professional		$501.19	$691.83	$1,122.02
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,380.38	Facility		$851.14	$851.14	$1,380.38