Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $634.48 / $2,331.21	Facility		$100.00	$634.48	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.82 / $260.92 / $442.47	Professional		$187.82	$260.92	$442.47
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 $215.60 / $376.00 / $679.09	Professional		$215.60	$376.00	$679.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.63 / $474.37 / $937.11	Professional		$260.63	$474.37	$937.11
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $249.05 / $507.72 / $1,110.15	Professional		$249.05	$507.72	$1,110.15
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 $284.41 / $513.79 / $1,006.56	Professional		$284.41	$513.79	$1,006.56
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $156.50 / $249.26 / $389.90	Professional		$156.50	$249.26	$389.90