Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.20 / $129.43 / $189.99	Facility		$51.20	$129.43	$189.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.94 / $48.61 / $67.72	Professional		$28.94	$48.61	$67.72
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 $30.30 / $51.58 / $76.45	Professional		$30.30	$51.58	$76.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.23 / $53.23 / $53.23	Facility		$53.23	$53.23	$53.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.86 / $82.49 / $153.43	Professional		$44.86	$82.49	$153.43
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $71.70 / $149.09	Professional		$37.59	$71.70	$149.09
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 $61.63 / $81.79 / $160.56	Professional		$61.63	$81.79	$160.56
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $25.03 / $35.04 / $50.90	Professional		$25.03	$35.04	$50.90