Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $214.42 / $2,331.21	Facility		$100.00	$214.42	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.74 / $76.25 / $97.55	Professional		$59.74	$76.25	$97.55
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 $69.95 / $96.17 / $143.07	Professional		$69.95	$96.17	$143.07
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 $78.05 / $126.48 / $227.77	Professional		$78.05	$126.48	$227.77
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $71.54 / $129.97 / $238.45	Professional		$71.54	$129.97	$238.45
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 $91.59 / $130.13 / $239.11	Professional		$91.59	$130.13	$239.11
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $45.44 / $68.16 / $91.16	Professional		$45.44	$68.16	$91.16