Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $647.70 / $2,331.21	Facility		$100.00	$647.70	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.93 / $196.19 / $248.81	Professional		$165.93	$196.19	$248.81
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 $180.80 / $280.86 / $392.22	Professional		$180.80	$280.86	$392.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.42 / $302.42 / $302.42	Facility		$302.42	$302.42	$302.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.23 / $367.74 / $559.67	Professional		$243.23	$367.74	$559.67
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $213.33 / $342.01 / $668.44	Professional		$213.33	$342.01	$668.44
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 $236.31 / $327.45 / $585.66	Professional		$236.31	$327.45	$585.66
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $139.02 / $162.38 / $194.63	Professional		$139.02	$162.38	$194.63