Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $776.85 / $5,366.84	Facility		$100.00	$776.85	$5,366.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.58 / $248.22 / $415.40	Professional		$197.58	$248.22	$415.40
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 $206.69 / $328.44 / $458.66	Professional		$206.69	$328.44	$458.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $355.82 / $355.82 / $355.82	Facility		$355.82	$355.82	$355.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.89 / $429.49 / $670.52	Professional		$283.89	$429.49	$670.52
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $250.11 / $400.97 / $779.45	Professional		$250.11	$400.97	$779.45
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $263.64 / $369.77 / $686.13	Professional		$263.64	$369.77	$686.13
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $165.10 / $208.08 / $278.08	Professional		$165.10	$208.08	$278.08