Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $275.42	Facility		$158.49	$158.49	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $81.28 / $125.89	Professional		$43.65	$81.28	$125.89
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 $38.90 / $83.18 / $117.49	Professional		$38.90	$83.18	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $114.82 / $223.87	Professional		$57.54	$114.82	$223.87
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 $47.86 / $112.20 / $229.09	Professional		$47.86	$112.20	$229.09
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 $50.12 / $102.33 / $213.80	Professional		$50.12	$102.33	$213.80
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $107.15	Facility		$66.07	$66.07	$107.15