Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.84 / $640.45 / $5,242.50	Facility		$128.84	$640.45	$5,242.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.92 / $167.97 / $352.27	Professional		$119.92	$167.97	$352.27
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 $147.82 / $235.15 / $373.49	Professional		$147.82	$235.15	$373.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,306.21 / $1,306.21 / $1,351.93	Facility		$1,306.21	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.75 / $295.68 / $496.61	Professional		$170.75	$295.68	$496.61
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $192.82 / $385.74 / $620.57	Professional		$192.82	$385.74	$620.57
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 $193.09 / $299.37 / $693.82	Professional		$193.09	$299.37	$693.82
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $116.82 / $160.74 / $218.33	Professional		$116.82	$160.74	$218.33