Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.76 / $320.80 / $2,331.21	Facility		$156.76	$320.80	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.90 / $80.11 / $98.16	Professional		$64.90	$80.11	$98.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.01 / $124.94 / $182.04	Professional		$87.01	$124.94	$182.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.15 / $153.19 / $242.07	Professional		$94.15	$153.19	$242.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $107.76 / $205.81 / $328.13	Professional		$107.76	$205.81	$328.13
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 $92.67 / $141.69 / $339.15	Professional		$92.67	$141.69	$339.15
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $71.91 / $83.99 / $100.67	Professional		$71.91	$83.99	$100.67