Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.66 / $652.66 / $783.19	Facility		$652.66	$652.66	$783.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $783.19 / $915.09 / $1,006.60	Professional		$783.19	$915.09	$1,006.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $915.09	Professional		$915.09	$915.09	$915.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $863.29 / $915.09 / $915.09	Facility		$863.29	$915.09	$915.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $915.09	Professional		$915.09	$915.09	$915.09
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $1,328.16	Professional		$915.09	$915.09	$1,328.16
United Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $1,417.14	Professional		$915.09	$915.09	$1,417.14
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,750.00 / $3,500.00	Professional		$2,500.00	$2,750.00	$3,500.00