Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $371.46 / $2,331.21	Facility		$100.00	$371.46	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.23 / $143.25 / $222.18	Professional		$112.23	$143.25	$222.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,426.62 / $2,500.00	Facility		$1,223.09	$1,426.62	$2,500.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.28 / $216.44 / $336.99	Professional		$128.28	$216.44	$336.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.79 / $249.01 / $476.15	Professional		$144.79	$249.01	$476.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $131.97 / $256.75 / $548.84	Professional		$131.97	$256.75	$548.84
United Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $3,360.00 / $7,448.00	Facility		$75.00	$3,360.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $183.34 / $286.97 / $599.33	Professional		$183.34	$286.97	$599.33
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $85.94 / $120.32 / $171.30	Professional		$85.94	$120.32	$171.30