Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $574.92 / $2,331.21	Facility		$100.00	$574.92	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.10 / $263.66 / $363.96	Professional		$162.10	$263.66	$363.96
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 $179.79 / $306.06 / $434.52	Professional		$179.79	$306.06	$434.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.83 / $306.83 / $306.83	Facility		$306.83	$306.83	$306.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.09 / $441.81 / $828.13	Professional		$253.09	$441.81	$828.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $223.13 / $419.96 / $856.97	Professional		$223.13	$419.96	$856.97
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 $304.45 / $441.47 / $866.57	Professional		$304.45	$441.47	$866.57
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $142.05 / $198.87 / $276.19	Professional		$142.05	$198.87	$276.19