Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $216.23 / $2,331.21	Facility		$100.00	$216.23	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.63 / $76.08 / $123.26	Professional		$51.63	$76.08	$123.26
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 $69.69 / $115.32 / $159.55	Professional		$69.69	$115.32	$159.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.61 / $118.61 / $118.61	Facility		$118.61	$118.61	$118.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.15 / $154.85 / $281.17	Professional		$96.15	$154.85	$281.17
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $86.50 / $157.30 / $287.79	Professional		$86.50	$157.30	$287.79
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 $113.55 / $144.47 / $293.70	Professional		$113.55	$144.47	$293.70
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $54.97 / $76.95 / $93.44	Professional		$54.97	$76.95	$93.44