Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.93 / $519.03 / $2,567.94	Facility		$81.93	$519.03	$2,567.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $99.94 / $519.04	Professional		$64.31	$99.94	$519.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,359.00 / $3,300.00	Facility		$1,223.09	$1,359.00	$3,300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.22 / $195.62 / $567.09	Professional		$80.22	$195.62	$567.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,751.69 / $1,751.69 / $1,812.99	Facility		$1,751.69	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.50 / $308.30 / $1,073.66	Professional		$108.50	$308.30	$1,073.66
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $104.63 / $377.16 / $1,092.50	Professional		$104.63	$377.16	$1,092.50
United Facility/Professional Facility Modifier Low / Median / High Price $8,035.00 / $8,035.00 / $8,035.00	Facility		$8,035.00	$8,035.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $622.80 / $744.00 / $1,651.88	Professional		$622.80	$744.00	$1,651.88
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $71.53 / $367.39 / $542.91	Professional		$71.53	$367.39	$542.91