Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $475.72 / $4,560.03	Facility		$100.00	$475.72	$4,560.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.79 / $198.02 / $275.32	Professional		$130.79	$198.02	$275.32
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 $143.43 / $235.84 / $336.36	Professional		$143.43	$235.84	$336.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.10 / $1,306.21 / $1,351.93	Facility		$243.10	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.35 / $332.99 / $611.51	Professional		$198.35	$332.99	$611.51
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $177.45 / $324.62 / $617.89	Professional		$177.45	$324.62	$617.89
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 $229.76 / $321.66 / $602.19	Professional		$229.76	$321.66	$602.19
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $117.13 / $171.77 / $243.40	Professional		$117.13	$171.77	$243.40