Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $630.55 / $2,341.64	Facility		$100.00	$630.55	$2,341.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.60 / $259.42 / $339.71	Professional		$166.60	$259.42	$339.71
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 $177.77 / $293.70 / $427.19	Professional		$177.77	$293.70	$427.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.51 / $302.51 / $302.51	Facility		$302.51	$302.51	$302.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.75 / $410.09 / $773.11	Professional		$248.75	$410.09	$773.11
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $220.30 / $412.20 / $796.28	Professional		$220.30	$412.20	$796.28
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 $317.89 / $454.90 / $809.22	Professional		$317.89	$454.90	$809.22
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $139.71 / $195.59 / $257.74	Professional		$139.71	$195.59	$257.74