Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $360.87 / $2,331.21	Facility		$100.00	$360.87	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.60 / $129.37 / $208.51	Professional		$93.60	$129.37	$208.51
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 $98.98 / $162.74 / $232.51	Professional		$98.98	$162.74	$232.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.47 / $168.47 / $168.47	Facility		$168.47	$168.47	$168.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.49 / $215.64 / $381.47	Professional		$139.49	$215.64	$381.47
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $122.07 / $218.71 / $397.88	Professional		$122.07	$218.71	$397.88
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 $162.08 / $233.03 / $458.44	Professional		$162.08	$233.03	$458.44
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $78.53 / $109.94 / $149.69	Professional		$78.53	$109.94	$149.69