Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.05 / $126.12 / $223.56	Facility		$55.05	$126.12	$223.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.26 / $56.64 / $79.02	Professional		$30.26	$56.64	$79.02
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 $32.35 / $55.46 / $82.82	Professional		$32.35	$55.46	$82.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.58 / $56.58 / $56.58	Facility		$56.58	$56.58	$56.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.34 / $90.43 / $162.26	Professional		$46.34	$90.43	$162.26
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $40.42 / $82.33 / $184.82	Professional		$40.42	$82.33	$184.82
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 $72.67 / $95.54 / $187.54	Professional		$72.67	$95.54	$187.54
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $28.62 / $49.28 / $69.70	Professional		$28.62	$49.28	$69.70