Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $822.48 / $2,331.21	Facility		$100.00	$822.48	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.43 / $212.15 / $290.75	Professional		$159.43	$212.15	$290.75
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 $192.30 / $286.05 / $424.82	Professional		$192.30	$286.05	$424.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.53 / $355.56 / $637.75	Professional		$221.53	$355.56	$637.75
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $201.97 / $381.91 / $730.74	Professional		$201.97	$381.91	$730.74
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 $239.27 / $343.38 / $672.71	Professional		$239.27	$343.38	$672.71
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $129.03 / $193.55 / $259.36	Professional		$129.03	$193.55	$259.36