Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $676.08 / $9,772.37	Facility		$199.53	$676.08	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $173.78 / $457.09	Professional		$109.65	$173.78	$457.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,412.54 / $2,630.27	Facility		$1,288.25	$1,412.54	$2,630.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $213.80 / $363.08	Professional		$102.33	$213.80	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $229.09 / $478.63	Professional		$134.90	$229.09	$478.63
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $251.19 / $489.78	Professional		$125.89	$251.19	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $257.04 / $478.63	Professional		$138.04	$257.04	$478.63
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $251.19	Facility		$204.17	$204.17	$251.19