Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $492.46 / $2,331.21	Facility		$100.00	$492.46	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.33 / $134.27 / $168.06	Professional		$82.33	$134.27	$168.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,426.62 / $2,500.00	Facility		$1,223.09	$1,426.62	$2,500.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.01 / $206.68 / $335.09	Professional		$120.01	$206.68	$335.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,306.21 / $1,306.21 / $1,351.93	Facility		$1,306.21	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.12 / $227.30 / $368.04	Professional		$147.12	$227.30	$368.04
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $216.13 / $424.02	Professional		$137.38	$216.13	$424.02
United Facility/Professional Facility Modifier Low / Median / High Price $3,360.00 / $3,360.00 / $7,448.00	Facility		$3,360.00	$3,360.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $198.72 / $428.43	Professional		$137.38	$198.72	$428.43
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $98.17 / $107.99 / $137.44	Professional		$98.17	$107.99	$137.44