Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.91 / $307.91 / $307.91	Facility		$307.91	$307.91	$307.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.75 / $82.92 / $307.91	Professional		$58.75	$82.92	$307.91
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 $86.38 / $134.80 / $204.98	Professional		$86.38	$134.80	$204.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.37 / $166.63 / $263.81	Professional		$100.37	$166.63	$263.81
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $79.23 / $157.19 / $261.02	Professional		$79.23	$157.19	$261.02
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 $98.32 / $136.51 / $213.55	Professional		$98.32	$136.51	$213.55
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $56.30 / $61.93 / $78.81	Professional		$56.30	$61.93	$78.81