Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $579.65 / $2,331.21	Facility		$100.00	$579.65	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.40 / $254.11 / $354.31	Professional		$150.40	$254.11	$354.31
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 $167.67 / $277.00 / $411.11	Professional		$167.67	$277.00	$411.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $284.76 / $284.76 / $284.76	Facility		$284.76	$284.76	$284.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.19 / $415.38 / $808.13	Professional		$235.19	$415.38	$808.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $207.76 / $394.74 / $813.78	Professional		$207.76	$394.74	$813.78
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 $334.66 / $483.55 / $885.96	Professional		$334.66	$483.55	$885.96
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $131.40 / $183.96 / $270.01	Professional		$131.40	$183.96	$270.01