Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $422.64 / $2,331.21	Facility		$100.00	$422.64	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.81 / $101.76 / $167.05	Professional		$72.81	$101.76	$167.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.25 / $138.77 / $235.86	Professional		$79.25	$138.77	$235.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.24 / $192.76 / $363.69	Professional		$107.24	$192.76	$363.69
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $100.35 / $210.56 / $384.60	Professional		$100.35	$210.56	$384.60
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 $135.47 / $213.30 / $461.55	Professional		$135.47	$213.30	$461.55
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $72.33 / $102.60 / $145.61	Professional		$72.33	$102.60	$145.61