Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $511.25 / $2,341.64	Facility		$100.00	$511.25	$2,341.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.88 / $187.71 / $256.52	Professional		$150.88	$187.71	$256.52
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 $170.14 / $280.89 / $370.28	Professional		$170.14	$280.89	$370.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.14 / $1,751.69 / $1,812.99	Facility		$286.14	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.42 / $357.19 / $609.30	Professional		$217.42	$357.19	$609.30
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $212.62 / $363.74 / $693.01	Professional		$212.62	$363.74	$693.01
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 $216.15 / $309.43 / $609.50	Professional		$216.15	$309.43	$609.50
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $128.68 / $178.56 / $242.68	Professional		$128.68	$178.56	$242.68