Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $700.30 / $2,331.21	Facility		$100.00	$700.30	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.16 / $233.16 / $339.19	Professional		$203.16	$233.16	$339.19
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 $231.31 / $351.99 / $491.55	Professional		$231.31	$351.99	$491.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $383.97 / $383.97 / $383.97	Facility		$383.97	$383.97	$383.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.72 / $451.20 / $702.88	Professional		$300.72	$451.20	$702.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $272.73 / $430.36 / $805.76	Professional		$272.73	$430.36	$805.76
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 $275.20 / $390.82 / $640.19	Professional		$275.20	$390.82	$640.19
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $173.09 / $209.22 / $280.69	Professional		$173.09	$209.22	$280.69