Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.68 / $218.01 / $827.67	Facility		$66.68	$218.01	$827.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.24 / $104.73 / $297.33	Professional		$47.24	$104.73	$297.33
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 $55.96 / $110.00 / $209.51	Professional		$55.96	$110.00	$209.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.88 / $155.25 / $336.86	Professional		$74.88	$155.25	$336.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $72.98 / $176.41 / $364.87	Professional		$72.98	$176.41	$364.87
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 $157.78 / $195.17 / $404.88	Professional		$157.78	$195.17	$404.88
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $50.35 / $104.59 / $169.64	Professional		$50.35	$104.59	$169.64