Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $496.60 / $2,341.64	Facility		$100.00	$496.60	$2,341.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.63 / $237.83 / $346.74	Professional		$125.63	$237.83	$346.74
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 $131.31 / $222.98 / $319.19	Professional		$131.31	$222.98	$319.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.98 / $1,306.21 / $1,351.93	Facility		$224.98	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.68 / $346.44 / $677.16	Professional		$187.68	$346.44	$677.16
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $162.50 / $309.89 / $653.75	Professional		$162.50	$309.89	$653.75
United Facility/Professional Facility Modifier Low / Median / High Price $8,035.00 / $8,035.00 / $8,035.00	Facility		$8,035.00	$8,035.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $275.49 / $390.01 / $768.20	Professional		$275.49	$390.01	$768.20
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $116.27 / $200.20 / $286.76	Professional		$116.27	$200.20	$286.76