Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.87 / $769.40 / $2,331.21	Facility		$320.87	$769.40	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.93 / $193.42 / $362.50	Professional		$150.93	$193.42	$362.50
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 $176.29 / $275.08 / $430.43	Professional		$176.29	$275.08	$430.43
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 $202.91 / $346.76 / $571.07	Professional		$202.91	$346.76	$571.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $229.94 / $447.45 / $718.02	Professional		$229.94	$447.45	$718.02
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 $243.96 / $368.24 / $798.56	Professional		$243.96	$368.24	$798.56
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $140.05 / $191.48 / $251.66	Professional		$140.05	$191.48	$251.66