Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.60 / $625.40 / $2,331.21	Facility		$210.60	$625.40	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.45 / $139.41 / $282.05	Professional		$105.45	$139.41	$282.05
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 $115.80 / $200.57 / $338.45	Professional		$115.80	$200.57	$338.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.43 / $261.33 / $450.98	Professional		$134.43	$261.33	$450.98
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $151.05 / $313.50 / $562.35	Professional		$151.05	$313.50	$562.35
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 $185.69 / $290.27 / $629.95	Professional		$185.69	$290.27	$629.95
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $96.02 / $141.59 / $198.23	Professional		$96.02	$141.59	$198.23