Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.00 / $597.66 / $2,331.21	Facility		$218.00	$597.66	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.87 / $144.03 / $309.99	Professional		$111.87	$144.03	$309.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.65 / $195.44 / $314.68	Professional		$120.65	$195.44	$314.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.50 / $274.81 / $508.03	Professional		$163.50	$274.81	$508.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $152.78 / $307.05 / $513.14	Professional		$152.78	$307.05	$513.14
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 $183.80 / $283.33 / $609.64	Professional		$183.80	$283.33	$609.64
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $110.39 / $145.19 / $192.84	Professional		$110.39	$145.19	$192.84