Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $557.04 / $2,331.21	Facility		$100.00	$557.04	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.72 / $208.89 / $337.78	Professional		$127.72	$208.89	$337.78
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 $160.60 / $272.89 / $390.90	Professional		$160.60	$272.89	$390.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.82 / $272.82 / $272.82	Facility		$272.82	$272.82	$272.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.15 / $394.63 / $769.62	Professional		$225.15	$394.63	$769.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $198.88 / $379.28 / $800.87	Professional		$198.88	$379.28	$800.87
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 $293.97 / $396.13 / $805.35	Professional		$293.97	$396.13	$805.35
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $125.84 / $176.18 / $257.08	Professional		$125.84	$176.18	$257.08