Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.95 / $241.84 / $324.54	Facility		$113.95	$241.84	$324.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.90 / $91.72 / $123.83	Professional		$63.90	$91.72	$123.83
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 $67.67 / $111.55 / $155.31	Professional		$67.67	$111.55	$155.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.71 / $116.71 / $116.71	Facility		$116.71	$116.71	$116.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.82 / $154.97 / $276.12	Professional		$95.82	$154.97	$276.12
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $83.67 / $153.06 / $281.36	Professional		$83.67	$153.06	$281.36
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 $110.47 / $145.41 / $290.95	Professional		$110.47	$145.41	$290.95
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $54.76 / $76.66 / $93.54	Professional		$54.76	$76.66	$93.54