Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $341.99 / $2,331.21	Facility		$100.00	$341.99	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.16 / $104.81 / $152.19	Professional		$79.16	$104.81	$152.19
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 $106.31 / $156.40 / $237.17	Professional		$106.31	$156.40	$237.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.74 / $152.74 / $152.74	Facility		$152.74	$152.74	$152.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.62 / $198.16 / $348.70	Professional		$122.62	$198.16	$348.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $110.75 / $197.35 / $360.98	Professional		$110.75	$197.35	$360.98
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 $143.05 / $187.68 / $387.20	Professional		$143.05	$187.68	$387.20
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $68.44 / $98.81 / $126.66	Professional		$68.44	$98.81	$126.66