Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $149.13 / $13,666.50	Facility		$100.00	$149.13	$13,666.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.35 / $131.84 / $162.52	Professional		$117.35	$131.84	$162.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.51 / $208.45 / $294.88	Professional		$152.51	$208.45	$294.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.24 / $140.24 / $140.24	Facility		$140.24	$140.24	$140.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.15 / $237.07 / $373.44	Professional		$164.15	$237.07	$373.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $139.60 / $219.62 / $430.88	Professional		$139.60	$219.62	$430.88
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.49 / $192.89 / $379.95	Professional		$133.49	$192.89	$379.95
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,750.00 / $3,125.00 / $4,735.00	Professional		$2,750.00	$3,125.00	$4,735.00