Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $531.30 / $2,331.21	Facility		$100.00	$531.30	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.72 / $314.62 / $471.51	Professional		$138.72	$314.62	$471.51
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 $144.44 / $245.16 / $379.35	Professional		$144.44	$245.16	$379.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.41 / $1,306.21 / $1,351.93	Facility		$244.41	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.85 / $440.86 / $1,005.15	Professional		$205.85	$440.86	$1,005.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $178.66 / $407.86 / $964.54	Professional		$178.66	$407.86	$964.54
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 $440.50 / $621.26 / $1,029.22	Professional		$440.50	$621.26	$1,029.22
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $127.04 / $299.54 / $449.31	Professional		$127.04	$299.54	$449.31