Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $389.47 / $2,331.21	Facility		$100.00	$389.47	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.44 / $139.08 / $192.92	Professional		$106.44	$139.08	$192.92
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 $130.71 / $183.21 / $280.41	Professional		$130.71	$183.21	$280.41
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 $148.29 / $232.89 / $406.38	Professional		$148.29	$232.89	$406.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $134.78 / $246.09 / $454.24	Professional		$134.78	$246.09	$454.24
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 $167.45 / $236.73 / $428.69	Professional		$167.45	$236.73	$428.69
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $85.21 / $127.82 / $165.55	Professional		$85.21	$127.82	$165.55