Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.78 / $315.98 / $962.00	Facility		$64.78	$315.98	$962.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.95 / $87.23 / $297.00	Professional		$40.95	$87.23	$297.00
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 $43.34 / $85.21 / $168.32	Professional		$43.34	$85.21	$168.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $107.03 / $235.11	Professional		$49.10	$107.03	$235.11
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $56.54 / $136.71 / $293.12	Professional		$56.54	$136.71	$293.12
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.06 / $167.30 / $371.52	Professional		$124.06	$167.30	$371.52
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $38.43 / $82.85 / $136.44	Professional		$38.43	$82.85	$136.44