Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.99 / $296.56 / $408.78	Facility		$136.99	$296.56	$408.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.37 / $114.44 / $153.03	Professional		$76.37	$114.44	$153.03
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 $80.54 / $134.18 / $191.04	Professional		$80.54	$134.18	$191.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.37 / $140.37 / $140.37	Facility		$140.37	$140.37	$140.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.40 / $188.16 / $342.54	Professional		$114.40	$188.16	$342.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $100.65 / $184.11 / $351.23	Professional		$100.65	$184.11	$351.23
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 $131.87 / $185.99 / $365.09	Professional		$131.87	$185.99	$365.09
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $91.48 / $115.63	Professional		$65.34	$91.48	$115.63