Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.82 / $174.82 / $174.82	Facility		$174.82	$174.82	$174.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.45 / $47.05 / $174.82	Professional		$33.45	$47.05	$174.82
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 $49.82 / $76.31 / $114.94	Professional		$49.82	$76.31	$114.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.83 / $93.55 / $148.11	Professional		$56.83	$93.55	$148.11
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $44.44 / $88.16 / $146.38	Professional		$44.44	$88.16	$146.38
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 $55.68 / $72.88 / $257.66	Professional		$55.68	$72.88	$257.66
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $32.43 / $35.67 / $45.40	Professional		$32.43	$35.67	$45.40