Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.56 / $178.56 / $299.64	Facility		$178.56	$178.56	$299.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.64 / $67.38 / $178.56	Professional		$38.64	$67.38	$178.56
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 $57.99 / $96.69 / $166.77	Professional		$57.99	$96.69	$166.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.33 / $133.56 / $270.00	Professional		$71.33	$133.56	$270.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $63.29 / $147.12 / $301.74	Professional		$63.29	$147.12	$301.74
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 $117.88 / $153.57 / $299.66	Professional		$117.88	$153.57	$299.66
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $42.22 / $69.98 / $97.97	Professional		$42.22	$69.98	$97.97