Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.69 / $367.25 / $523.78	Facility		$173.69	$367.25	$523.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.18 / $151.62 / $199.43	Professional		$96.18	$151.62	$199.43
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 $101.57 / $169.21 / $247.18	Professional		$101.57	$169.21	$247.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.98 / $174.98 / $174.98	Facility		$174.98	$174.98	$174.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.22 / $240.86 / $453.65	Professional		$144.22	$240.86	$453.65
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $126.92 / $237.48 / $465.26	Professional		$126.92	$237.48	$465.26
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 $185.39 / $226.89 / $474.90	Professional		$185.39	$226.89	$474.90
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $81.02 / $113.43 / $151.13	Professional		$81.02	$113.43	$151.13