Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.68 / $384.43 / $5,657.64	Facility		$123.68	$384.43	$5,657.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.65 / $132.84 / $362.59	Professional		$90.65	$132.84	$362.59
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 $107.07 / $180.49 / $299.02	Professional		$107.07	$180.49	$299.02
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 $124.54 / $235.94 / $403.28	Professional		$124.54	$235.94	$403.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $139.66 / $282.36 / $496.86	Professional		$139.66	$282.36	$496.86
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 $167.69 / $235.37 / $619.54	Professional		$167.69	$235.37	$619.54
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $88.66 / $127.16 / $178.02	Professional		$88.66	$127.16	$178.02