Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $154.88 / $288.40	Facility		$54.95	$154.88	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $87.10 / $186.21	Professional		$50.12	$87.10	$186.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,412.54 / $2,630.27	Facility		$1,288.25	$1,412.54	$2,630.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $102.33 / $144.54	Professional		$54.95	$102.33	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $123.03 / $229.09	Professional		$67.61	$123.03	$229.09
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $128.82 / $251.19	Professional		$66.07	$128.82	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $109.65 / $229.09	Professional		$63.10	$109.65	$229.09
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $109.65	Facility		$69.18	$69.18	$109.65