Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $567.55 / $2,331.21	Facility		$100.00	$567.55	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.30 / $229.26 / $326.38	Professional		$149.30	$229.26	$326.38
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 $152.03 / $253.29 / $373.72	Professional		$152.03	$253.29	$373.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.50 / $1,306.21 / $1,351.93	Facility		$261.50	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.57 / $372.78 / $726.09	Professional		$218.57	$372.78	$726.09
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $189.98 / $355.48 / $702.49	Professional		$189.98	$355.48	$702.49
United Facility/Professional Facility Modifier Low / Median / High Price $8,035.00 / $8,035.00 / $8,035.00	Facility		$8,035.00	$8,035.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $277.39 / $407.24 / $695.46	Professional		$277.39	$407.24	$695.46
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $123.98 / $173.57 / $246.86	Professional		$123.98	$173.57	$246.86