Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $650.69 / $2,331.21	Facility		$100.00	$650.69	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.27 / $209.44 / $275.47	Professional		$178.27	$209.44	$275.47
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 $191.91 / $283.97 / $427.56	Professional		$191.91	$283.97	$427.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.20 / $320.20 / $320.20	Facility		$320.20	$320.20	$320.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.66 / $399.05 / $605.44	Professional		$237.66	$399.05	$605.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $231.07 / $380.49 / $712.38	Professional		$231.07	$380.49	$712.38
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 $252.80 / $343.73 / $600.59	Professional		$252.80	$343.73	$600.59
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $147.44 / $173.23 / $207.88	Professional		$147.44	$173.23	$207.88