Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.06 / $405.03 / $508.38	Facility		$163.06	$405.03	$508.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.31 / $127.43 / $164.61	Professional		$96.31	$127.43	$164.61
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 $95.95 / $158.97 / $231.87	Professional		$95.95	$158.97	$231.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.40 / $167.40 / $167.40	Facility		$167.40	$167.40	$167.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.36 / $223.72 / $356.35	Professional		$138.36	$223.72	$356.35
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $119.25 / $208.12 / $388.66	Professional		$119.25	$208.12	$388.66
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 $157.24 / $224.24 / $441.15	Professional		$157.24	$224.24	$441.15
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $79.84 / $112.71 / $151.28	Professional		$79.84	$112.71	$151.28