Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $551.67 / $2,341.64	Facility		$100.00	$551.67	$2,341.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.16 / $270.06 / $401.45	Professional		$150.16	$270.06	$401.45
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 $161.61 / $271.92 / $404.04	Professional		$161.61	$271.92	$404.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.08 / $1,751.69 / $1,812.99	Facility		$272.08	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.95 / $419.62 / $801.05	Professional		$225.95	$419.62	$801.05
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $199.69 / $383.31 / $828.46	Professional		$199.69	$383.31	$828.46
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 $311.61 / $462.44 / $877.47	Professional		$311.61	$462.44	$877.47
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $135.04 / $234.31 / $382.83	Professional		$135.04	$234.31	$382.83