Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $181.97	Facility		$131.83	$131.83	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $32.36 / $58.88	Professional		$19.05	$32.36	$58.88
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 $15.85 / $34.67 / $48.98	Professional		$15.85	$34.67	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $47.86 / $87.10	Professional		$25.70	$47.86	$87.10
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 $19.50 / $36.31 / $67.61	Professional		$19.50	$36.31	$67.61
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 $21.88 / $42.66 / $74.13	Professional		$21.88	$42.66	$74.13
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $35.48	Facility		$22.39	$22.39	$35.48