Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.48 / $233.21 / $320.32	Facility		$105.48	$233.21	$320.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.31 / $91.56 / $158.62	Professional		$63.31	$91.56	$158.62
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 $66.95 / $111.55 / $153.80	Professional		$66.95	$111.55	$153.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.76 / $114.76 / $114.76	Facility		$114.76	$114.76	$114.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.52 / $148.97 / $271.82	Professional		$93.52	$148.97	$271.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $83.67 / $152.06 / $276.77	Professional		$83.67	$152.06	$276.77
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 $109.19 / $155.02 / $263.58	Professional		$109.19	$155.02	$263.58
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $52.84 / $74.86 / $104.80	Professional		$52.84	$74.86	$104.80