Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.85 / $628.51 / $2,331.21	Facility		$259.85	$628.51	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $147.34 / $181.34	Professional		$109.45	$147.34	$181.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.56 / $207.49 / $301.50	Professional		$145.56	$207.49	$301.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.32 / $264.72 / $391.74	Professional		$153.32	$264.72	$391.74
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $177.74 / $339.47 / $548.59	Professional		$177.74	$339.47	$548.59
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 $186.79 / $254.27 / $545.83	Professional		$186.79	$254.27	$545.83
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $117.55 / $137.28 / $164.57	Professional		$117.55	$137.28	$164.57