Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $845.13 / $2,331.21	Facility		$100.00	$845.13	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $243.88 / $327.18	Professional		$213.80	$243.88	$327.18
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 $233.33 / $370.20 / $516.98	Professional		$233.33	$370.20	$516.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.53 / $395.53 / $395.53	Facility		$395.53	$395.53	$395.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.49 / $484.25 / $739.34	Professional		$317.49	$484.25	$739.34
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $282.50 / $455.45 / $850.66	Professional		$282.50	$455.45	$850.66
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 $300.31 / $397.15 / $712.40	Professional		$300.31	$397.15	$712.40
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $179.91 / $225.87 / $306.83	Professional		$179.91	$225.87	$306.83