Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.62 / $526.91 / $1,749.77	Facility		$94.62	$526.91	$1,749.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.03 / $191.54 / $304.08	Professional		$55.03	$191.54	$304.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $120.37 / $381.31	Professional		$69.34	$120.37	$381.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.71 / $1,306.21 / $1,351.93	Facility		$96.71	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.36 / $174.88 / $625.28	Professional		$80.36	$174.88	$625.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $69.12 / $225.29 / $586.63	Professional		$69.12	$225.29	$586.63
United Facility/Professional Facility Modifier Low / Median / High Price $8,611.00 / $8,611.00 / $8,611.00	Facility		$8,611.00	$8,611.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $254.76 / $414.13 / $660.75	Professional		$254.76	$414.13	$660.75
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $50.13 / $193.19 / $289.79	Professional		$50.13	$193.19	$289.79