Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $678.51 / $2,678.80	Facility		$100.00	$678.51	$2,678.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.86 / $202.54 / $246.67	Professional		$187.86	$202.54	$246.67
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 $192.79 / $344.25 / $553.25	Professional		$192.79	$344.25	$553.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,000.36 / $2,000.36 / $2,070.38	Facility		$2,000.36	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.63 / $370.59 / $598.69	Professional		$241.63	$370.59	$598.69
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $220.70 / $381.77 / $681.19	Professional		$220.70	$381.77	$681.19
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 $230.00 / $307.32 / $608.20	Professional		$230.00	$307.32	$608.20
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $149.41 / $164.36 / $209.19	Professional		$149.41	$164.36	$209.19