Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $295.12 / $9,772.37	Facility		$213.80	$295.12	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $169.82	Professional		$63.10	$89.13	$169.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,412.54 / $2,630.27	Facility		$1,288.25	$1,412.54	$2,630.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $128.82 / $181.97	Professional		$67.61	$128.82	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $151.36 / $281.84	Professional		$91.20	$151.36	$281.84
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $147.91 / $263.03	Professional		$81.28	$147.91	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $131.83 / $251.19	Professional		$81.28	$131.83	$251.19
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $123.03	Facility		$77.62	$77.62	$123.03