Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $734.67 / $2,331.21	Facility		$100.00	$734.67	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.44 / $360.22 / $511.54	Professional		$166.44	$360.22	$511.54
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 $187.38 / $357.64 / $740.30	Professional		$187.38	$357.64	$740.30
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 $224.56 / $473.47 / $1,216.08	Professional		$224.56	$473.47	$1,216.08
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $191.10 / $493.74 / $1,282.70	Professional		$191.10	$493.74	$1,282.70
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 $455.39 / $679.94 / $1,498.13	Professional		$455.39	$679.94	$1,498.13
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $125.68 / $175.95 / $387.66	Professional		$125.68	$175.95	$387.66