Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.74 / $167.17 / $320.68	Facility		$142.74	$167.17	$320.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.59 / $52.01 / $74.55	Professional		$38.59	$52.01	$74.55
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 $44.31 / $79.47 / $144.44	Professional		$44.31	$79.47	$144.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.17 / $103.09 / $189.76	Professional		$50.17	$103.09	$189.76
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $57.80 / $125.97 / $251.54	Professional		$57.80	$125.97	$251.54
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 $84.58 / $111.64 / $302.35	Professional		$84.58	$111.64	$302.35
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $57.85 / $80.98	Professional		$39.40	$57.85	$80.98