Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $879.25 / $3,313.74	Facility		$100.00	$879.25	$3,313.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.33 / $259.14 / $312.70	Professional		$238.33	$259.14	$312.70
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 $243.57 / $424.60 / $679.29	Professional		$243.57	$424.60	$679.29
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 $304.07 / $464.90 / $696.20	Professional		$304.07	$464.90	$696.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $278.83 / $482.34 / $860.64	Professional		$278.83	$482.34	$860.64
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 $279.83 / $367.20 / $694.57	Professional		$279.83	$367.20	$694.57
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $189.71 / $227.65 / $359.31	Professional		$189.71	$227.65	$359.31