Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $651.64 / $9,859.00	Facility		$100.00	$651.64	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.78 / $187.29 / $187.29	Professional		$104.78	$187.29	$187.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.60 / $297.58 / $475.35	Professional		$166.60	$297.58	$475.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.36 / $372.46 / $459.85	Professional		$236.36	$372.46	$459.85
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $174.11 / $332.40 / $573.30	Professional		$174.11	$332.40	$573.30
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 $191.77 / $259.00 / $609.33	Professional		$191.77	$259.00	$609.33
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $123.88 / $136.27 / $173.43	Professional		$123.88	$136.27	$173.43