Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $674.13 / $3,313.74	Facility		$100.00	$674.13	$3,313.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.52 / $196.52 / $251.87	Professional		$172.52	$196.52	$251.87
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 $196.99 / $341.84 / $549.37	Professional		$196.99	$341.84	$549.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,472.40 / $2,472.40 / $2,558.92	Facility		$2,472.40	$2,472.40	$2,558.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $378.19 / $611.67	Professional		$240.00	$378.19	$611.67
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $225.51 / $390.09 / $696.04	Professional		$225.51	$390.09	$696.04
United Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $4,314.00 / $9,565.00	Facility		$691.00	$4,314.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.74 / $284.10 / $556.59	Professional		$218.74	$284.10	$556.59
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $152.41 / $182.89 / $288.66	Professional		$152.41	$182.89	$288.66