Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $321.02 / $2,331.21	Facility		$100.00	$321.02	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.68 / $132.59 / $188.64	Professional		$87.68	$132.59	$188.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $2,875.00	Facility		$1,449.90	$1,611.00	$2,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.35 / $173.63 / $300.89	Professional		$109.35	$173.63	$300.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,306.21 / $1,306.21 / $1,351.93	Facility		$1,306.21	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.44 / $225.76 / $462.93	Professional		$123.44	$225.76	$462.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $112.25 / $233.14 / $523.89	Professional		$112.25	$233.14	$523.89
United Facility/Professional Facility Modifier Low / Median / High Price $696.00 / $3,624.00 / $8,035.00	Facility		$696.00	$3,624.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.88 / $238.74 / $467.59	Professional		$159.88	$238.74	$467.59
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $125.11 / $175.15	Professional		$76.73	$125.11	$175.15