Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $663.85 / $2,331.21	Facility		$100.00	$663.85	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.68 / $228.79 / $389.27	Professional		$143.68	$228.79	$389.27
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 $187.87 / $310.41 / $453.41	Professional		$187.87	$310.41	$453.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $319.37 / $319.37 / $319.37	Facility		$319.37	$319.37	$319.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.83 / $454.23 / $885.41	Professional		$258.83	$454.23	$885.41
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $232.83 / $442.37 / $921.33	Professional		$232.83	$442.37	$921.33
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 $325.52 / $470.38 / $926.51	Professional		$325.52	$470.38	$926.51
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $147.56 / $206.58 / $295.67	Professional		$147.56	$206.58	$295.67