Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $547.35 / $2,331.21	Facility		$100.00	$547.35	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.97 / $219.86 / $285.07	Professional		$150.97	$219.86	$285.07
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 $173.73 / $283.92 / $433.65	Professional		$173.73	$283.92	$433.65
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 $191.51 / $338.55 / $626.00	Professional		$191.51	$338.55	$626.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $170.59 / $331.90 / $697.48	Professional		$170.59	$331.90	$697.48
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 $248.47 / $359.25 / $683.03	Professional		$248.47	$359.25	$683.03
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $126.13 / $188.86 / $264.39	Professional		$126.13	$188.86	$264.39