Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $567.40 / $2,331.21	Facility		$100.00	$567.40	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.51 / $230.40 / $334.52	Professional		$147.51	$230.40	$334.52
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 $152.35 / $261.25 / $370.75	Professional		$152.35	$261.25	$370.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.94 / $1,306.21 / $1,351.93	Facility		$261.94	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.05 / $385.94 / $734.33	Professional		$215.05	$385.94	$734.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $190.39 / $358.33 / $730.08	Professional		$190.39	$358.33	$730.08
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 $284.20 / $403.48 / $792.00	Professional		$284.20	$403.48	$792.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $135.41 / $224.88 / $350.01	Professional		$135.41	$224.88	$350.01