Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,158.52 / $6,067.00	Facility		$100.00	$1,158.52	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.46 / $171.12 / $290.00	Professional		$124.46	$171.12	$290.00
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 $168.53 / $256.87 / $423.72	Professional		$168.53	$256.87	$423.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,751.69 / $1,751.69 / $1,812.99	Facility		$1,751.69	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.20 / $316.29 / $629.87	Professional		$200.20	$316.29	$629.87
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $192.93 / $380.21 / $635.53	Professional		$192.93	$380.21	$635.53
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 $231.01 / $328.49 / $587.19	Professional		$231.01	$328.49	$587.19
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $135.08 / $148.59 / $189.11	Professional		$135.08	$148.59	$189.11