Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $323.59	Facility		$239.88	$239.88	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $181.97	Professional		$67.61	$93.33	$181.97
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 $60.26 / $125.89 / $173.78	Professional		$60.26	$125.89	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $147.91 / $281.84	Professional		$89.13	$147.91	$281.84
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 $74.13 / $134.90 / $251.19	Professional		$74.13	$134.90	$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 $77.62 / $131.83 / $245.47	Professional		$77.62	$131.83	$245.47
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $120.23	Facility		$75.86	$75.86	$120.23