Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $852.34 / $9,859.00	Facility		$100.00	$852.34	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.75 / $238.84 / $298.64	Professional		$203.75	$238.84	$298.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.63 / $376.62 / $561.40	Professional		$219.63	$376.62	$561.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.99 / $256.99 / $256.99	Facility		$256.99	$256.99	$256.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.23 / $423.61 / $661.81	Professional		$290.23	$423.61	$661.81
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $251.43 / $395.55 / $776.04	Professional		$251.43	$395.55	$776.04
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 $256.76 / $362.13 / $618.42	Professional		$256.76	$362.13	$618.42
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $178.80 / $196.68 / $250.32	Professional		$178.80	$196.68	$250.32