Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $505.42 / $2,341.64	Facility		$100.00	$505.42	$2,341.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.32 / $193.83 / $279.94	Professional		$137.32	$193.83	$279.94
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 $180.65 / $267.82 / $418.39	Professional		$180.65	$267.82	$418.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $249.95 / $1,306.21 / $1,351.93	Facility		$249.95	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.21 / $325.06 / $611.67	Professional		$207.21	$325.06	$611.67
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $182.31 / $331.31 / $603.19	Professional		$182.31	$331.31	$603.19
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 $236.98 / $304.44 / $585.23	Professional		$236.98	$304.44	$585.23
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $118.10 / $167.36 / $236.38	Professional		$118.10	$167.36	$236.38