Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $382.36 / $2,331.21	Facility		$100.00	$382.36	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.38 / $148.25 / $301.14	Professional		$67.38	$148.25	$301.14
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 $91.24 / $181.44 / $401.54	Professional		$91.24	$181.44	$401.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.60 / $1,306.21 / $1,351.93	Facility		$147.60	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.34 / $257.08 / $619.08	Professional		$120.34	$257.08	$619.08
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $104.70 / $264.19 / $625.24	Professional		$104.70	$264.19	$625.24
United Facility/Professional Facility Modifier Low / Median / High Price $8,035.00 / $8,035.00 / $8,035.00	Facility		$8,035.00	$8,035.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $261.97 / $377.70 / $745.63	Professional		$261.97	$377.70	$745.63
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $68.77 / $153.50 / $279.17	Professional		$68.77	$153.50	$279.17