Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $558.02 / $2,331.21	Facility		$100.00	$558.02	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.88 / $234.89 / $306.76	Professional		$148.88	$234.89	$306.76
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 $158.58 / $261.89 / $382.56	Professional		$158.58	$261.89	$382.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.43 / $269.43 / $269.43	Facility		$269.43	$269.43	$269.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.00 / $370.26 / $698.14	Professional		$218.00	$370.26	$698.14
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $196.46 / $367.59 / $720.89	Professional		$196.46	$367.59	$720.89
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 $283.33 / $370.89 / $730.55	Professional		$283.33	$370.89	$730.55
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $124.46 / $174.24 / $232.82	Professional		$124.46	$174.24	$232.82