Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $529.14 / $2,331.21	Facility		$100.00	$529.14	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.11 / $241.00 / $326.69	Professional		$145.11	$241.00	$326.69
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 $173.71 / $282.07 / $472.65	Professional		$173.71	$282.07	$472.65
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 $195.43 / $359.36 / $693.80	Professional		$195.43	$359.36	$693.80
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $362.53 / $802.47	Professional		$177.83	$362.53	$802.47
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,884.00 / $8,611.00	Facility		$930.00	$3,884.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $261.64 / $377.16 / $949.73	Professional		$261.64	$377.16	$949.73
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $126.56 / $204.61 / $286.45	Professional		$126.56	$204.61	$286.45