Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $417.40 / $2,331.21	Facility		$100.00	$417.40	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.25 / $201.53 / $268.50	Professional		$116.25	$201.53	$268.50
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 $139.19 / $232.13 / $383.88	Professional		$139.19	$232.13	$383.88
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 $161.24 / $295.94 / $572.78	Professional		$161.24	$295.94	$572.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $150.07 / $305.94 / $668.37	Professional		$150.07	$305.94	$668.37
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 $238.10 / $350.21 / $740.82	Professional		$238.10	$350.21	$740.82
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $99.88 / $171.98 / $266.77	Professional		$99.88	$171.98	$266.77