Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.99 / $132.50 / $1,422.00	Facility		$42.99	$132.50	$1,422.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $51.82 / $86.20	Professional		$34.65	$51.82	$86.20
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 $38.40 / $55.02 / $85.07	Professional		$38.40	$55.02	$85.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.88 / $1,306.21 / $1,351.93	Facility		$61.88	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.19 / $85.26 / $147.63	Professional		$52.19	$85.26	$147.63
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $44.06 / $80.06 / $144.37	Professional		$44.06	$80.06	$144.37
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 $61.05 / $87.90 / $166.79	Professional		$61.05	$87.90	$166.79
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $44.06 / $61.68	Professional		$30.15	$44.06	$61.68