Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.64 / $421.70 / $2,331.21	Facility		$105.64	$421.70	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.26 / $141.86 / $381.17	Professional		$100.26	$141.86	$381.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.45 / $193.88 / $318.44	Professional		$116.45	$193.88	$318.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.96 / $276.19 / $504.70	Professional		$158.96	$276.19	$504.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $151.88 / $307.10 / $529.08	Professional		$151.88	$307.10	$529.08
United Facility/Professional Facility Modifier Low / Median / High Price $8,611.00 / $8,611.00 / $8,611.00	Facility		$8,611.00	$8,611.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.32 / $299.19 / $603.99	Professional		$165.32	$299.19	$603.99
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $93.96 / $134.26 / $189.98	Professional		$93.96	$134.26	$189.98