Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $198.20 / $485.81	Facility		$100.00	$198.20	$485.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.25 / $117.34 / $197.04	Professional		$87.25	$117.34	$197.04
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 $78.78 / $128.79 / $187.13	Professional		$78.78	$128.79	$187.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.08 / $1,306.21 / $1,351.93	Facility		$134.08	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.37 / $184.25 / $311.25	Professional		$114.37	$184.25	$311.25
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $96.61 / $168.61 / $314.87	Professional		$96.61	$168.61	$314.87
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 $121.70 / $175.36 / $343.94	Professional		$121.70	$175.36	$343.94
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $62.03 / $88.32 / $120.44	Professional		$62.03	$88.32	$120.44