Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.00 / $299.00 / $883.15	Facility		$156.00	$299.00	$883.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.37 / $256.68 / $439.34	Professional		$129.37	$256.68	$439.34
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 $139.41 / $233.57 / $369.91	Professional		$139.41	$233.57	$369.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $237.21 / $237.21 / $237.21	Facility		$237.21	$237.21	$237.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.27 / $412.54 / $873.62	Professional		$194.27	$412.54	$873.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $174.22 / $396.30 / $890.97	Professional		$174.22	$396.30	$890.97
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 $371.78 / $529.95 / $1,036.26	Professional		$371.78	$529.95	$1,036.26
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $109.94 / $208.23 / $342.61	Professional		$109.94	$208.23	$342.61