Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.22 / $122.22 / $122.22	Facility		$122.22	$122.22	$122.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $32.65 / $122.22	Professional		$22.91	$32.65	$122.22
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 $34.46 / $53.40 / $79.51	Professional		$34.46	$53.40	$79.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.77 / $65.47 / $117.66	Professional		$39.77	$65.47	$117.66
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $60.96 / $101.23	Professional		$30.73	$60.96	$101.23
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 $30.73 / $48.08 / $85.21	Professional		$30.73	$48.08	$85.21
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $23.68 / $28.08 / $39.61	Professional		$23.68	$28.08	$39.61