Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.29 / $204.29 / $204.29	Facility		$204.29	$204.29	$204.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $54.51 / $204.29	Professional		$38.86	$54.51	$204.29
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 $57.72 / $89.01 / $135.06	Professional		$57.72	$89.01	$135.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.27 / $109.09 / $172.71	Professional		$66.27	$109.09	$172.71
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $52.21 / $103.57 / $171.98	Professional		$52.21	$103.57	$171.98
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 $60.16 / $83.08 / $142.65	Professional		$60.16	$83.08	$142.65
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $37.57 / $41.33 / $52.60	Professional		$37.57	$41.33	$52.60