Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $495.06 / $2,331.21	Facility		$100.00	$495.06	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.04 / $164.31 / $221.25	Professional		$121.04	$164.31	$221.25
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 $130.30 / $214.55 / $298.52	Professional		$130.30	$214.55	$298.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.58 / $1,306.21 / $1,351.93	Facility		$223.58	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.50 / $282.22 / $495.55	Professional		$186.50	$282.22	$495.55
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $161.69 / $282.20 / $527.00	Professional		$161.69	$282.20	$527.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,611.00 / $8,611.00 / $8,611.00	Facility		$8,611.00	$8,611.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.56 / $269.82 / $506.47	Professional		$198.56	$269.82	$506.47
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $115.04 / $148.16 / $231.11	Professional		$115.04	$148.16	$231.11