Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,749.77 / $9,859.00	Facility		$100.00	$1,749.77	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.75 / $102.39 / $164.28	Professional		$61.75	$102.39	$164.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.80 / $173.66 / $268.81	Professional		$108.80	$173.66	$268.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.62 / $285.08 / $412.81	Professional		$178.62	$285.08	$412.81
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $138.61 / $239.99 / $467.64	Professional		$138.61	$239.99	$467.64
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 $195.00 / $273.18 / $591.74	Professional		$195.00	$273.18	$591.74
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $69.68 / $97.55 / $147.61	Professional		$69.68	$97.55	$147.61